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Individual

MR. BRIAN C HAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
409 HIGH ST, CHATTAHOOCHEE, FL 32324-1303
(850) 663-4643
(850) 663-2350
Mailing address
409 HIGH ST, CHATTAHOOCHEE, FL 32324-1303
(850) 663-4643
(850) 663-2350

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3033052
FL

Other

Enumeration date
09/04/2007
Last updated
01/27/2022
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