Individual
DR. TODD ANTHONY HANSCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
17020 US HWY 19 NORTH, THOMASVILLE, GA 31757
(228) 226-3664
(229) 226-9169
Mailing address
17020 US HWY 19 NORTH, THOMASVILLE, GA 31757
(228) 226-3664
(229) 226-9169
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3178
SC
111N00000X
Chiropractor
Primary
CHIRO08401
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3178
STATE LICENSE NUMBER
SC
Enumeration date
09/16/2006
Last updated
02/09/2009
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