Individual
DR. RANDY L HAMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-4631
(706) 787-4632
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-4631
(706) 787-4632
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036168
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10058442
AMERIGROUP
GA
01
—
338033
WELLCARE
GA
01
—
52140518
BCBS
GA
01
—
581446543
TRICARE
GA
05
—
588983363A
—
GA
05
—
G36168
—
GA
Enumeration date
01/13/2006
Last updated
10/11/2013
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