Individual
WILLIAM L HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
770 PINE ST, STE 210, MASON, GA 31201
(478) 743-4622
(678) 547-1494
Mailing address
2835 BRANDYWINE RD, 300, ATLANTA, GA 30341
(770) 488-9202
(678) 547-1499
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
029984
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00436521A
—
GA
Enumeration date
05/11/2006
Last updated
07/08/2007
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