Individual
TOMMY LEE HAMPTON IV IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2405 BEMISS RD, VALDOSTA, GA 31602-1936
(229) 333-2351
Mailing address
2414 PATRICK PL, VALDOSTA, GA 31601-7936
(229) 834-2139
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT002095
GA
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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