MEDICARE: R.HAMIL, MD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	047441	GA

General Provider Information

NPI Number	:	1184066995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R.HAMIL, MD, PC

Provider Business Mailing Address
First Line	:	1691 MERIWEATHER DR
Second Line	:	SUITE 101
City	:	BOGART
State	:	GA
Zip	:	30622-3086
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4017 ATLANTA HWY
Second Line	:
City	:	BOGART
State	:	GA
Zip	:	30622-2212
Country	:	US
Telephone Number	:	706-543-3449
Fax Number	:	706-543-5744

Authorized Official
Title or Position	:	OWNER
Name	:	RACHEL HAMIL
Credential	:
Telephone Number	:	706-534-3449

Provider Enumeration Date	:	07/22/2013
Last Update Date	:	07/22/2013

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