Individual
WHITNEY JEAN HANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
470 NORTHSIDE CHEROKEE BLVD STE 170, CANTON, GA 30115-8029
(770) 721-9540
(770) 721-9541
Mailing address
2500 HOSPITAL BLVD STE 310, ROSWELL, GA 30076-4947
(770) 664-9600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8196
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/12/2016
Last updated
01/15/2020
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