Individual
KIRSTEN J HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4310 HARTLEY BRIDGE RD, MACON, GA 31216
(478) 788-4007
(478) 788-5070
Mailing address
PO BOX 3118, MACON, GA 31205
(478) 788-4007
(478) 788-5070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
051141
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP6759
MEDICARE GRP
GA
Enumeration date
11/27/2006
Last updated
07/08/2007
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