Individual
DR. BRYAN WADE HAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1059 BY PASS 123, SENECA, SC 29678-4762
(864) 885-0551
Mailing address
PO BOX 2508, INDIANAPOLIS, IN 46206-2508
(866) 388-4131
(866) 505-6933
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
42100
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100001990
—
KY
Enumeration date
02/12/2007
Last updated
08/26/2024
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