Individual
MAIRA RAMIREZ HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4720 NELSON BROGDON BLVD, BUFORD, GA 30518-3480
(912) 334-1824
Mailing address
4720 NELSON BROGDON BLVD, BUFORD, GA 30518-3480
(770) 945-1990
(770) 945-3631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11954
GA
Other
Enumeration date
11/01/2022
Last updated
05/06/2026
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