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NPI Code Detail

MEDICARE: DR. DALE RUTLEDGE HAMRICK MD

MEDICARE: DR. DALE RUTLEDGE HAMRICK MD
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
1207R00000XInternal Medicine Physician0185711SC

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 : 1952370504
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DALE RUTLEDGE HAMRICK MD
Provider Business Mailing Address
First Line : PO BOX 23656
Second Line :
City : COLUMBIA
State : SC
Zip : 29224-3656
Country : US
Telephone Number : 803-422-2985
Fax Number : 803-462-0376
Provider Business Practice Location Address
First Line : 124 SPRING VALLEY CT
Second Line :
City : COLUMBIA
State : SC
Zip : 29223-5900
Country : US
Telephone Number : 803-422-2985
Fax Number : 803-462-0376
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 07/06/2010

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