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Organization

HAMILTON MEDICAL CENTE PHYSICIAN

Active
Parent organization
HAMILTON MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
HAMILTON MEDICAL CENTER
Authorized official
MR. MIKE STEIN (DIRECTOR)
(706) 272-6000
Entity
Organization

Contact information

Practice address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6560
(706) 272-6562
Mailing address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6560
(706) 272-6562

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW002516
GA
208100000X
Physical Medicine & Rehabilitation Physician
49851
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
49851
GA
2084F0202X
Forensic Psychiatry Physician
Primary
057776
GA

Other

Enumeration date
07/30/2007
Last updated
05/23/2008
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