Individual
GEORGIA ANN HANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(207) 283-0171
Mailing address
PO BOX 353, HULLS COVE, ME 04644-0353
(207) 351-6706
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101715
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2023
Last updated
08/05/2025
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