Individual
CAROLINE HANSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 CLAIRMONT RD # 119, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
777 MEMORIAL DR SE APT 621, ATLANTA, GA 30316-1184
(406) 871-9264
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42651
SC
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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