Individual
MRS. KATHERINE JEAN HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
207 31ST AVE SE, MOULTRIE, GA 31768-6703
(229) 217-0088
Mailing address
207 31ST AVE SE, MOULTRIE, GA 31768-6703
(229) 217-0088
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
186180
GA
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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