Provider Demographics
NPI:1215330543
Name:SAYLORS, HANNAH SEGARS (RN)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:SEGARS
Last Name:SAYLORS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:667 THOMPSON ST
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:GA
Mailing Address - Zip Code:30547-3110
Mailing Address - Country:US
Mailing Address - Phone:706-677-2296
Mailing Address - Fax:
Practice Address - Street 1:667 THOMPSON ST
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:GA
Practice Address - Zip Code:30547-3110
Practice Address - Country:US
Practice Address - Phone:706-677-2296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN222702163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00051972BMedicaid