Individual
MR. HAMILTON STOCKTON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1605 REILLY RD UNIT 71213, FORT BRAGG, NC 28307-4953
(404) 791-7695
Mailing address
4721 DUDLEY LN, ATLANTA, GA 30327-3306
(404) 791-7695
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003423
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000032997
BOARD OF CERTIFICATION
—
Enumeration date
06/28/2017
Last updated
04/06/2023
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