Individual
DR. DUSTIN STANLEY HANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
69 JESSE HILL JR. DRIVE, SW, GLENN MEMORIAL BUILDING, 3RD FLOOR, ATLANTA, GA 30303
(404) 251-8915
(404) 523-3931
Mailing address
711 PRIVATE LN, UNION BEACH, NJ 07735-3241
(732) 997-8399
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
88406
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2016
Last updated
07/01/2021
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