Individual
BRETT MARK HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 EAST HOSPITAL RD., FORT GORDON, GA 30905
(706) 787-1326
Mailing address
300 EAST HOSPITAL RD., FT. GORDON, GA 30905-1000
(706) 787-7300
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1227
NE
Other
Enumeration date
02/15/2013
Last updated
10/29/2018
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