Individual
DR. DANA TRENT HENSLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1404 RIVER PL STE 401, BRASELTON, GA 30517-5600
(770) 848-6190
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
92300
GA
208D00000X
General Practice Physician
MD-16617
HI
Other
Enumeration date
06/29/2010
Last updated
08/03/2022
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