Provider Demographics
NPI:1720045644
Name:HANNA, SABRINA A (MD)
Entity type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:A
Last Name:HANNA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 MOUNT SINAI DR
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-2367
Mailing Address - Country:US
Mailing Address - Phone:706-482-2040
Mailing Address - Fax:
Practice Address - Street 1:330 MOUNT SINAI DR
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-2367
Practice Address - Country:US
Practice Address - Phone:508-334-8015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC51809207V00000X
TN40314207V00000X
TXN1669207V00000X
GA1020272083A0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3335219Medicaid
GA102027Medicaid
SC518096Medicaid