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Individual

DR. JOHNIE GEORGE HAMILTON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4322
Mailing address
PO BOX 6028, GREENVILLE, NC 27835-6028
(252) 847-4322

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1899
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0385Q
BCBS PROVIDER #
NC
05
6000467
NC
Enumeration date
11/18/2005
Last updated
07/09/2007
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