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Individual

DOUGLAS HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1656 RIVERCHASE BLVD, SUITE 3400, ROCK HILL, SC 29732-2084
(803) 328-6281
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
15967
SC
208000000X
Pediatrics Physician
Primary
35561
NC

Other

Enumeration date
07/25/2006
Last updated
03/29/2021
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