Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. JACK FREDERICK HAMILTON
Active
Individual
DR. JACK FREDERICK HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000340
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00005904B
—
GA
01
—
1922914
MEDICARE NSC
GA
01
—
480026649
RAILROAD MEDICARE
GA
01
—
48SCBZS
MEDICARE
GA
01
—
52000361
BLUE CROSS BLUE SHIELD
GA
Enumeration date
02/23/2006
Last updated
05/19/2008
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