Individual
ZACHARY AUSTIN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(702) 199-0007
Mailing address
PO BOX 1190, LAWRENCEVILLE, GA 30046-1190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
102912
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
102912
GA
207RN0300X
Nephrology Physician
102912
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
07/21/2025
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