Dr. Wesley C. Hansen, O.D.
Optometrist in Atlanta, GA. Individual provider (NPI-1).
NPI number1619003571
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619003571
- Entity type
- Individual (NPI-1)
- Name
- Dr. Wesley C. Hansen
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1077T | GA | Yes |
Practice location
5975 Roswell Rd NeSuite 107
Atlanta, GA 30328-4048
Phone 404-252-4111
Mailing address
5975 Roswell Rd NeSuite 107
Atlanta, GA 30328-4048
Phone 404-252-4111
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