Hamill, Randy L

Hamill, Randy L is an individual health care provider with primary practice located at 300 W Hospital Rd , Fort Gordon GA 30905-5741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Hamill, Randy L can be contacted via phone (706) 787-4631.

Contact Information

Primary practice address
300 W Hospital Rd Fort Gordon GA 30905-5741
Fax: (706) 787-4632
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036168 Georgia

Profile Details

NPI number 1700865110
LBN Legal business name Hamill, Randy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Oct 11th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700865110 NPPES
Georgia Other 52140518 BCBS
Georgia Other 338033 BCBS
Georgia MEDICAID 588983363A BCBS
Georgia Other 10058442 BCBS
Georgia Other 581446543 BCBS
Georgia MEDICAID G36168 BCBS

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