Randall Alan Hanson, D.P.M. Valid NPI
Individual provider · Foot & Ankle Surgery Podiatrist · Winder, GA
- NPI
- 1760810766
- Type
- Individual (Type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist (Podiatrist)
- Specialty group
- Podiatric Medicine & Surgery Service Providers
- Taxonomy code
- 213ES0103X
- License number
- POD001293 (GA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2013-10-29
- Last updated
- 2023-03-15
Practice location
293 N Broad St
Winder, GA 30680-2155
(770) 867-4110