Individual
DR. GARY LAMAR HAMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C F N P, PHD
Contact information
Practice address
1082 GLUCKSTADT RD, MADISON, MS 39110
(601) 707-5621
Mailing address
PO BOX 607, CANTON, MS 39046-0607
(601) 859-9888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R784674
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04179259
—
MS
Enumeration date
10/11/2006
Last updated
03/01/2016
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