MEDICARE: DR. MICHAEL ANDREW HAMER 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
1	2084N0400X	Neurology Physician	MD.36563	AL

General Provider Information

NPI Number	:	1851745335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ANDREW HAMER M.D.

Provider Business Mailing Address
First Line	:	2570 VILLAGE PROFESSIONAL DR
Second Line	:
City	:	OPELIKA
State	:	AL
Zip	:	36801-2380
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2570 VILLAGE PROFESSIONAL DR
Second Line	:
City	:	OPELIKA
State	:	AL
Zip	:	36801-2380
Country	:	US
Telephone Number	:	334-203-1917
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2016
Last Update Date	:	01/20/2023

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