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General NPI Number Information
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NPI Number | 1144513185
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST MEDICAL CARE, P.C.
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 4215 WOODRUFF RD
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City | COLUMBUS
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State | GA
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Zip | 31904-6889
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Country | US
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Telephone | 706-653-6080
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Fax | 706-653-6052
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Provider Business Mailing Address
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Address Line | PO BOX 51
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City | MIDLAND
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State | GA
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Zip | 31820-0051
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Country | US
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Telephone | 706-653-6080
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Fax | 706-653-6052
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Authorized Official
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Title or Position | PHYSICIAN/ OWNER
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Name | DR. EDWARD WILLIAM HAMILTON JR.
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Credential | D.O.
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Telephone | 706-653-6080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 053922
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License Number State | GA
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