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Individual

MR. JERRY RAY HAMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN, FNP-BC

Contact information

Practice address
8510 WILKINSVILLE RD, MILLINGTON, TN 38053-1537
(901) 872-3114
(901) 872-3116
Mailing address
8510 WILKINSVILLE RD, MILLINGTON, TN 38053-1537
(901) 872-3114
(901) 872-3116

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000014464
TN

Other

Enumeration date
10/12/2009
Last updated
04/02/2014
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