Organization
HAMPTON FAMILY PRACTICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY HENSLEY (OFFICE MANAGER)
(770) 946-4521
Entity
Organization
Contact information
Practice address
25 GOSS DRIVE, HAMPTON, GA 30228-2921
(770) 946-4521
Mailing address
PO BOX 1107, HAMPTON, GA 30228-2921
(770) 946-4521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038996
GA
Other
Enumeration date
02/21/2007
Last updated
12/03/2012
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