Phyllis Decarnelle Hannah, M.D.

NPI #1740259407 in Ada, Oklahoma

Provider Information

NPI Number: 1740259407
Entity Type: Individual
Name: Phyllis Decarnelle Hannah, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Mar 15, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 1921 STONECIPHER DR
City: Ada
State: Oklahoma
ZIP Code: 74820-3439
Phone: (580) 436-3980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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