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NPI Code Detail

MEDICARE: DR. GEORGE MONROE HAMMITT III M.D.

MEDICARE: DR. GEORGE MONROE HAMMITT III M.D.
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
1207LP2900XPain Medicine (Anesthesiology) Physician14417MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578560538
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE MONROE HAMMITT III M.D.
Provider Business Mailing Address
First Line : 2089 SOUTHRIDGE DR
Second Line :
City : TUPELO
State : MS
Zip : 38801-6478
Country : US
Telephone Number : 662-407-0801
Fax Number : 662-407-0807
Provider Business Practice Location Address
First Line : 2089 SOUTHRIDGE DR
Second Line :
City : TUPELO
State : MS
Zip : 38801-6478
Country : US
Telephone Number : 662-407-0801
Fax Number : 662-407-0807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2005
Last Update Date : 10/16/2018

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