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Individual

GEORGE BO HAMIL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
812 S PARK ST, CARROLLTON, GA 30117-4412
(770) 834-7436
(770) 830-5954
Mailing address
120 E CENTER ST, CARROLLTON, GA 30117-3303
(770) 832-2484
(770) 830-5961

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000982
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000921159A
GA
Enumeration date
04/13/2006
Last updated
02/12/2009
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