Individual
DR. KARLA K. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 STARLING STREET, SUITE 601, BRUNSWICK, GA 31520-4271
(912) 466-5640
(912) 466-5643
Mailing address
3205 SHRINE ROAD, SUITE 480, BRUNSWICK, GA 31520-4722
(912) 466-7280
(912) 466-7293
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD048635L
PA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
050633
GA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
50633
GA
Other
Enumeration date
08/31/2006
Last updated
08/01/2012
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