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Organization

HAMLET PPM LLC

Active
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Organization

HAMLET PPM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STANLEY D MCLEMORE (SR. VP OPERATIONS FINANCE)
(239) 598-3131
Entity
Organization

Contact information

Practice address
108 ENDO LN, SUITE 1, HAMLET, NC 28345-4566
(910) 205-8909
Mailing address
PO BOX 1329, HAMLET, NC 28345-1329

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207R00000X
Internal Medicine Physician
Primary
2084N0400X
Neurology Physician
2084P0800X
Psychiatry Physician
208600000X
Surgery Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
208M00000X
Hospitalist Physician
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
01/14/2009
Last updated
02/10/2009
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