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Individual

DR. ROBERT FORT HAMBAUGH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
712 WOODLAND DRIVE, DOTHAN, AL 36301
(334) 699-5616
Mailing address
712 WOODLAND DRIVE, DOTHAN, AL 36301
(334) 699-5616

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9131
AL

Other

Enumeration date
10/15/2010
Last updated
10/15/2010
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