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Individual

JEFFREY A HAMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
801 E 6TH ST, STE 302, PANAMA CITY, FL 32401-3699
(850) 770-3250
(850) 770-3255
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-1431
(361) 572-0333
(361) 703-5101

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA-654
ME
363AS0400X
Surgical Physician Assistant
Primary
PA9110525
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021892900
FL
05
254420099
ME
05
30337326
NH
Enumeration date
06/09/2006
Last updated
07/05/2018
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