Individual
ERIC BRADLEY HAMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
865 S 1ST ST, JESUP, GA 31545-0210
(912) 427-6811
Mailing address
PO BOX 410, JESUP, GA 31598-0410
(800) 749-2940
(888) 820-1824
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN158200
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227923181A
—
GA
05
—
227923181B
—
GA
05
—
227923181C
—
GA
01
—
P00379304
RAILROAD MEDICARE
GA
Enumeration date
05/10/2006
Last updated
01/28/2012
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