Individual
MATTHEW THOMAS HAMRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3278 MITCHELL BLVD BLDG 900, MOODY AFB, GA 31699-5613
(229) 257-2778
Mailing address
3278 MITCHELL BLVD BLDG 900, MOODY AFB, GA 31699-1500
(229) 257-2677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1151145
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1151145
USAF
—
01
—
PA9116299
FL DEPT OF MED
FL
Enumeration date
03/29/2018
Last updated
08/20/2024
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