Provider Demographics
NPI:1891706289
Name:HANSFORD, BILLY J (PA)
Entity Type:Individual
Prefix:MR
First Name:BILLY
Middle Name:J
Last Name:HANSFORD
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:6439 GARNERS FERRY ROAD
Mailing Address - Street 2:WJB DORN VA MEDICAL CENTER
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209
Mailing Address - Country:US
Mailing Address - Phone:803-776-4000
Mailing Address - Fax:
Practice Address - Street 1:6439 GARNERS FERRY ROAD
Practice Address - Street 2:WJB DORN VA MEDICAL CENTER
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209
Practice Address - Country:US
Practice Address - Phone:803-776-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2020-09-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical