Individual
HITENDRA HANSALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1810 MULKEY RD, SUITE 102, AUSTELL, GA 30106-1151
(770) 944-8660
(770) 944-8661
Mailing address
1810 MULKEY RD, SUITE 102, AUSTELL, GA 30106-1151
(770) 944-8660
(770) 944-8661
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
46544
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00811379A
—
GA
Enumeration date
03/09/2006
Last updated
08/20/2010
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