Individual
CHARLENE MARIE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
FLINT RIVER HOSPITAL, 509 SUMPTER STREET, MONTEZUMA, GA 31063
(478) 472-8178
(478) 472-3289
Mailing address
1196 ENGLISHVILLE RD, ANDERSONVILLE, GA 31711-3406
(478) 472-6792
(478) 472-1222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN056471 NP
GA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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