Individual
BRIAN DEMETRIUS HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
114 W CAROLINA AVE, HARTSVILLE, SC 29550-4216
(843) 309-9754
Mailing address
114 W CAROLINA AVE, HARTSVILLE, SC 29550-4216
(843) 309-9754
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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