| Organization Name: | HAMLET HMA PPM LLC |
| NPI Number: | 1265714141 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL L GINGRAS (VICE PRESIDENT) |
| Mailing Address: | 108 Endo Ln Suite 1 Hamlet |
| State: | NC US |
| Postal Code: | 283454566 |
| Phone Number: | 9102058909 |
| Fax Number: | 9102058952 |
| NPI Enumeration Date: | 09/15/2011 |
| NPI Last Update Date: | 11/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |