| Dr Randall Alan Hanson Jr, DPM | |
|
293 N Broad St, Winder, GA 30680-2155 | |
| (770) 867-4110 | |
| Not Available |
| Full Name | Dr Randall Alan Hanson Jr |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 13 Years |
| Location | 293 N Broad St, Winder, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760810766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD001293 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Georgia Physicians Group Inc | 6901898386 | 706 |
| Provider Name | Northeast Georgia Physicians Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randall Alan Hanson Jr, DPM Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Dr Randall Alan Hanson Jr, DPM 293 N Broad St, Winder, GA 30680-2155 Ph: (770) 867-4110 |
Georgia Reconstructive Foot And Ankle Center Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 293 N Broad St, Winder, GA 30680 Phone: 770-867-4110 | |
Charles Fink Peebles, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 314 N Broad St Ste 330, Winder, GA 30680 Phone: 770-867-4110 Fax: 770-867-8278 | |
Dr. Drew Xenos, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 293 N Broad St, Winder, GA 30680 Phone: 770-867-4110 |