Individual
SUSAN C. HANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(334) 386-2053
(334) 244-1830
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(334) 386-2053
(334) 244-1830
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
RN143516
GA
Other
Enumeration date
05/24/2006
Last updated
07/09/2007
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