# JEFFREY CHARLES HAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225423809
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2018-00918 | NC | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 2018-00918 | NC | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | 2018-00918 | NC | — |

## Other

- **Enumeration date:** 04/01/2015
- **Last updated:** 07/15/2024