Individual
MATTHEW D HANSERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 W MARKET ST, ATHENS, AL 35611-2457
(256) 262-6738
(256) 262-6731
Mailing address
501 GREAT CIRCLE RD, SUITE 200, NASHVILLE, TN 37228-1317
(615) 222-6977
(615) 222-5322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33722
AL
207R00000X
Internal Medicine Physician
49759
TN
208M00000X
Hospitalist Physician
33722
AL
208M00000X
Hospitalist Physician
49759
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1531854
—
TN
01
—
6011134
BCBS
TN
05
—
7100242280
—
KY
Enumeration date
03/26/2010
Last updated
04/21/2025
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