DR. Terry Wayne Hansen, M.D.

NPI #1013906387 in Social Circle, Georgia

Provider Information

NPI Number: 1013906387
Entity Type: Individual
Name: DR. Terry Wayne Hansen, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Oct 19, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1027 BATEMAN DR
Address 2: SUITE B
City: Social Circle
State: Georgia
ZIP Code: 30025-5025
Phone: (770) 464-2048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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