Individual
JACK BRADLEY HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 NORTHEAST BLVD, CLINTON, NC 28328-2434
(910) 592-2343
Mailing address
408 NORTHEAST BLVD, CLINTON, NC 28328-2434
(910) 592-2343
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CFT2031
NC
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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