Individual
LARRY EUGENE HAMSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
509 SUMTER ST, MONTEZUMA, GA 31063-1733
(478) 472-3154
(478) 472-3251
Mailing address
509 SUMTER ST, MONTEZUMA, GA 31063-1733
(478) 472-3154
(478) 472-3251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN207142
GA
Other
Enumeration date
06/03/2014
Last updated
08/19/2016
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