Individual
DAVID SEAN HERMANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3527 N VALDOSTA RD, VALDOSTA, GA 31602-6418
(229) 247-2290
(229) 247-0091
Mailing address
3527 N VALDOSTA RD, VALDOSTA, GA 31602-6418
(229) 247-2290
(229) 247-0091
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6670
GA
Other
Enumeration date
02/15/2013
Last updated
06/28/2016
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