Individual
MR. EPHRIAM PAUL HAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT, ECS
Contact information
Practice address
6555 STANDING BOY RD, COLUMBUS, GA 31904-2219
(706) 653-0161
(706) 653-7453
Mailing address
6555 STANDING BOY RD, COLUMBUS, GA 31904-2219
(706) 653-0161
(706) 653-7453
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
PT000495
GA
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
PT000495
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003104321A
—
GA
01
—
202G707915
MEDICARE GROUP NUMBER FOR CDC ON COMER
GA
Enumeration date
10/27/2006
Last updated
02/28/2011
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