Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 065671 | GA |
NPI | 1346393261 |
---|---|
Provider Name | Dr. Miller Carlton Hamrick |
First Address | Savannah, GA 31404-6268 |
Second Address | Savannah, GA 31404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 03/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003109566F | (05) | GA |
GA1597 | (05) | SC |
P01292127 | RAILROAD MEDICARE (01) | GA |