Organization
DALE RUTLEDGE HAMRICK, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE RUTLEDGE HAMRICK MD (OWNER)
(803) 462-0376
Entity
Organization
Contact information
Practice address
124 SPRING VALLEY CT, COLUMBIA, SC 29223-5900
(803) 462-0376
(803) 462-0376
Mailing address
PO BOX 23656, COLUMBIA, SC 29224-3656
(803) 462-0376
(803) 462-0376
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
18571
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185711
—
SC
Enumeration date
07/23/2006
Last updated
11/05/2007
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