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Individual

CAROLINE ADELE HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912
(067) 218-6237
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 446-5941

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008230
GA
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003184809A
GA
Enumeration date
12/23/2016
Last updated
07/10/2018
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