Terry Wayne Hansen M.D.

NPI 1013906387 - Specialist - 174400000X

NPI Details
NPI 1013906387
Gender Male
Enumeration Date 10/19/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1027 BATEMAN DR
SUITE B
SOCIAL CIRCLE GA, 30025-5025, US
Phone (770) 464-2048
Fax (770) 464-9995
Business Location
703 STERLING WATER CT
MONROE GA, 30655-7707, US
Phone (770) 266-7954
Fax
Toxanomy
Taxonomy Code 174400000X
License State Georgia
License Number 047330
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According to our database, Dr. Terry Wayne Hansen M.D. NPI is 1013906387, taxonomy code is 174400000X and license number is 047330, license state is located at Georgia. Terry Wayne Hansen M.D. physically located at 1027 Bateman Dr, Social Circle GA, 30025-5025. NPI Number Terry Wayne Hansen M.D. has the Individual type.

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1013906387 NPI number is provided on an as is basis without warranty of any kind. 1013906387 is maintained by the National Plan & Provider Enumeration System. The contents of Terry Wayne Hansen M.D. are for informational purposes only.