Individual
BURNETT HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 ASTON AVE, MCCOMB, MS 39648-2734
(601) 249-5510
(601) 249-5530
Mailing address
DEPT 1871, PO BOX 2153, BIRMINGHAM, AL 35287-1871
(770) 429-1411
(770) 429-1951
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
18348
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02984324
—
MS
01
—
5574657
AETNA
—
01
—
P00086160
RAILROAD MEDICARE
MS
Enumeration date
08/16/2006
Last updated
10/16/2012
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