Basic Information
| Provider Information | |||||||||
| NPI: | 1508157199 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HANLON | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | THOMAS | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2890 DAUPHIN ST | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366062457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514732020 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2890 DAUPHIN ST | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366062457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514732020 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/29/2011 | ||||||||
| LastUpdateDate: | 02/05/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 173095 | NC | N | Allopathic & Osteopathic Physicians | Surgery | 207L00000X | MD.34308 | AL | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.