person
Mr. Tony Demarco Hansberry II
Student in an Organized Health Care Education/Training Program in Atlanta, Georgia
NPI 1821753153

Tony Demarco Hansberry II is a Student in an Organized Health Care Education/Training Program based in Atlanta, GA. Tony Demarco Hansberry II practices in Atlanta, GA. The NPI Number for Tony Demarco Hansberry II is 1821753153 and holds a License No. (Georgia).

The current practice location address for Tony Demarco Hansberry II is 720 Westview Dr Sw, Atlanta, GA and can be reached out via phone at 404-752-1500.

Location: 720 Westview Dr Sw, Atlanta, GA, 30310-1458
person
Provider Profile Details
NPI Number
1821753153
Provider Name
Tony Demarco Hansberry II
Credential
Provider Entity Type
Individual
Gender
Male
Address
720 Westview Dr Sw, Atlanta, GA, 30310-1458
Phone Number
404-752-1500
Fax Number
Provider Enumeration Date
11/02/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XKT561W07177 01 GA ANTHEM
institution
Provider Business Practice Location Address Details
Address
720 Westview Dr Sw
City
State
Zip
30310-1458
Phone Number
404-752-1500
Fax Number
person
Provider Business Mailing Address Details
Address
720 Westview Dr Sw
City
State
Zip
30310-1458
Phone Number
404-752-1500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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