Individual provider · Type 1 NPI

Chad Hanes

Student in an Organized Health Care Education/Training Program · Hattiesburg, MS

NPI number 1114804788 Active

Practice location

2101 Quinn St
Hattiesburg, MS 39401-4731

Call (601) 618-8021 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114804788

Chad Hanes's National Provider Identifier is 1114804788, issued on Aug 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hattiesburg, MS. The record was last updated on Aug 18, 2025.