Individual
HANNA NICOLE THOMPSON DORCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/28/2008
Last updated
08/27/2016
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