Individual
JACK EDWARD HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1220 W WHEELER PKWY, AUGUSTA, GA 30909
(706) 721-5222
(706) 721-1459
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005721
GA
Other
Enumeration date
06/07/2007
Last updated
03/28/2024
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