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Individual

JEFFREY CHARLES HAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1585 FORNEY CREEK PKWY, STE 2100, DENVER, NC 28037-9514
(704) 489-0365
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2018-00918
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
2018-00918
NC
207RS0010X
Sports Medicine (Internal Medicine) Physician
2018-00918
NC

Other

Enumeration date
04/01/2015
Last updated
07/15/2024
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