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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