Provider Demographics
NPI:1063476679
Name:HAMRICK, GREGORY G (CRNP)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:G
Last Name:HAMRICK
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:701 UNIVERSITY BLVD E
Mailing Address - Street 2:SUITE 400
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401
Mailing Address - Country:US
Mailing Address - Phone:205-752-0694
Mailing Address - Fax:205-752-6244
Practice Address - Street 1:701 UNIVERSITY BLVD E
Practice Address - Street 2:SUITE 400
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401
Practice Address - Country:US
Practice Address - Phone:205-752-0694
Practice Address - Fax:205-752-6244
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-042184363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P34357Medicare UPIN