Individual
DR. GARY RYAN HANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(706) 787-8671
Mailing address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(706) 787-8671
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002892
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
952478774B
—
GA
Enumeration date
08/01/2006
Last updated
02/06/2015
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