Individual
DR. STEPHEN JEWELL HANSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
606 S GREENWOOD ST, LAGRANGE, GA 30240-3128
(706) 882-5551
(706) 812-8558
Mailing address
606 S GREENWOOD ST, P O BOX 2030, LAGRANGE, GA 30240-3128
(706) 882-5551
(706) 812-8558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN010845
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000422463D
—
GA
Enumeration date
06/10/2006
Last updated
05/03/2026
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