Individual provider · Type 1 NPI

Mary Caroniti Hansen, DO

General Practice Physician · Laurel Fork, VA

NPI number 1467683243 Active

Practice location

14558 Danville Pike
Laurel Fork, VA 24352-3982

Call (276) 398-2292 Map

Fax (276) 398-3331

Mailing address

PO Box 9
Laurel Fork, VA 24352-0009

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X0102203001 (VA)
General Practice Physician Primary 208D00000X0102203001 (VA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

22 other providers at this address

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About NPI 1467683243

Mary Caroniti Hansen, DO's National Provider Identifier is 1467683243, issued on Jul 28, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Laurel Fork, VA. The record was last updated on Jul 21, 2021.