Healthcare Provider Details

I. General information

NPI: 1316596836
Provider Name (Legal Business Name): DR. LAURA HAMAKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2019
Last Update Date: 06/13/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HOSPITAL OKINAWA
CHATAN OKINAWA
9040103
JP

IV. Provider business mailing address

282 CEDAR MILL LN
WOODSTOCK GA
30189-5101
US

V. Phone/Fax

Practice location:
  • Phone: 98-971-9355
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS59509
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH031560
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: