Basic Information
| Provider Information | |||||||||
| NPI: | 1104386887 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MORRISSEY | ||||||||
| FirstName: | HANNAH | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 936952 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 311936952 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3045984850 | ||||||||
| FaxNumber: | 3045984871 | ||||||||
| Practice Location | |||||||||
| Address1: | 9430 FORESTWOOD LN STE 100 | ||||||||
| Address2: | |||||||||
| City: | MANASSAS | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201104754 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7033650227 | ||||||||
| FaxNumber: | 7033650332 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2019 | ||||||||
| LastUpdateDate: | 08/29/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/29/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208000000X | 0101275322 | VA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.