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Individual

MR. SPENCER RYAN HAMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
6019 OLEANDER DR, SUITE 101, WILMINGTON, NC 28403-4796
(910) 791-0001
(910) 791-6888
Mailing address
1101 S. LAKE PARK BLVD., C15, CAROLINA BEACH, NC 28428-5638

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2739
NC

Other

Enumeration date
03/03/2016
Last updated
03/03/2016
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