Organization
ONE HAMPTON MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BAUER MD (CMO)
(734) 632-0175
Entity
Organization
Contact information
Practice address
8400 MEADOWBRIDGE RD, SUITE E, MECHANICSVILLE, VA 23116-1504
(734) 632-0175
(888) 861-8740
Mailing address
38935 ANN ARBOR RD, CREDENTIALING DEPT, LIVONIA, MI 48150-3397
(734) 632-0175
(888) 861-8740
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/20/2013
Last updated
07/15/2014
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