Individual
DR. DAMIEN M HANSRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1279 HIGHWAY 54 W STE 100, FAYETTEVILLE, GA 30214-4551
(770) 719-7365
Mailing address
PO BOX 102231, ATLANTA, GA 30368-2231
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
77829
GA
207RH0003X
Hematology & Oncology Physician
ME 119249
FL
207RX0202X
Medical Oncology Physician
Primary
77829
GA
Other
Enumeration date
04/17/2008
Last updated
07/12/2021
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