Individual
RICHARD F HAMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
220 OAKSIDE LN, CANTON, GA 30114-6413
(678) 807-1050
(678) 807-1055
Mailing address
PO BOX 307, CUMMING, GA 30028-0307
(770) 887-1668
(770) 781-9937
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004567
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004567
GA PHYS ASSISTANT LIC #
GA
Enumeration date
12/23/2005
Last updated
10/06/2011
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