Hanes, Carole M

Hanes, Carole M is an individual health care provider with primary practice located at 1430 John Wesley Gilbert Drive Gc-1024, Augusta GA 30912-1001. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Hanes, Carole M can be contacted via phone (706) 721-9633.

Contact Information

Primary practice address
1430 John Wesley Gilbert Drive Gc-1024 Augusta GA 30912-1001
Phone: (706) 721-9633
Fax: (706) 723-0266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN012290 Georgia

Profile Details

NPI number 1114974573
LBN Legal business name Hanes, Carole M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jan 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114974573 NPPES
Georgia MEDICAID 000536632A
Georgia MEDICAID ZG0183

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