Individual
DR. JOHN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 722-9011
Mailing address
1125 TROUPE ST, AUGUSTA, GA 30904-4480
(706) 737-4275
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
92009
GA
2085R0202X
Diagnostic Radiology Physician
35.142675
OH
2085R0202X
Diagnostic Radiology Physician
Primary
92009
GA
Other
Enumeration date
03/24/2015
Last updated
01/19/2023
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