Individual
JOHN WILLIAM HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 N PATTERSON ST, VALDOSTA, GA 31602-2944
(229) 245-0447
(229) 245-0448
Mailing address
PO BOX 3287, VALDOSTA, GA 31604-3287
(229) 245-0447
(229) 245-0448
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
040397
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006695560
—
GA
Enumeration date
09/09/2005
Last updated
11/08/2010
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