Individual
SANDRA HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-NP
Contact information
Practice address
613 HOSPITAL RD, COMMERCE, GA 30529-1143
(706) 335-9411
Mailing address
112 RIVER BOTTOM CIR, ATHENS, GA 30606-1992
(706) 549-5356
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
GA-RN038352NP
GA
363L00000X
Nurse Practitioner
—
GA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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