David Jeffrey Hanson, PAC

NPI #1689217911 in Pooler, Georgia

Provider Information

NPI Number: 1689217911
Entity Type: Individual
Name: David Jeffrey Hanson, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Oct 18, 2019
Last Updated: Dec 18, 2024

Practice Location

Address: 105 GRAND CENTRAL BLVD STE 108
City: Pooler
State: Georgia
ZIP Code: 31322-4148
Phone: (912) 748-1515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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