Individual
TERRY E. HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1023 KEITH DR, PERRY, GA 31069-2948
(478) 988-1100
(478) 988-8211
Mailing address
1023 KEITH DR, PERRY, GA 31069-2948
(478) 988-1100
(478) 988-8211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048422
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00917364A
—
GA
Enumeration date
05/24/2006
Last updated
07/17/2008
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