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Individual

DR. MILLER CARLTON HAMRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
065671
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003109566F
GA
05
GA1597
SC
01
P01292127
RAILROAD MEDICARE
GA
Enumeration date
01/22/2007
Last updated
08/03/2018
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