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Individual

DR. ROBERT CORNEALIUS HAM JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(866) 507-5244
(855) 851-4405
Mailing address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 746-7577

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
033098
GA
207L00000X
Anesthesiology Physician
Primary
33098
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000433122Q
GA
05
000433122R
GA
01
P00282149
RAIL ROAD MEDICARE - NEX
GA
Enumeration date
12/13/2006
Last updated
05/19/2023
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