STEPHEN JEWELL HANSARD

LAGRANGE, GA
NPI1467493130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: GA  DN010845)
Enumeration Date2006-06-10
Last Update Date2011-02-16
Business Address
Dr. STEPHEN JEWELL HANSARD
606 S GREENWOOD ST
LAGRANGE, GA 30240-3128
Phone number: 706-882-5551
Mailing Address
Dr. STEPHEN JEWELL HANSARD
606 S GREENWOOD ST P O BOX 2030
LAGRANGE, GA 30240-3128
Phone number: 706-882-5551