Individual
BRENDA JOYCE HANSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4751 BEST RD STE 300, ATLANTA, GA 30337-5600
(804) 510-0811
Mailing address
4751 BEST RD STE 300, ATLANTA, GA 30337-5600
(804) 510-0811
(804) 716-8208
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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