Individual provider · Type 1 NPI
David Jeffrey Hanson, PAC
Medical Physician Assistant · Pooler, GA
NPI number
1689217911
Active
Practice location
105 Grand Central Blvd Ste 108
Pooler, GA 31322-4148
Fax (844) 807-3782
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA1806 (ID) |
| Medical Physician Assistant | 363AM0700X | PA1806 (ID) |
| Medical Physician Assistant Primary | 363AM0700X | 12647 (GA) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
About NPI 1689217911
David Jeffrey Hanson, PAC's National Provider Identifier is 1689217911, issued on Oct 18, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pooler, GA. The record was last updated on Dec 18, 2024.