Provider Demographics
NPI:1215013354
Name:EMOKPAE, HAMILTON OSASERE (MD)
Entity Type:Individual
Prefix:DR
First Name:HAMILTON
Middle Name:OSASERE
Last Name:EMOKPAE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2380
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30459-2380
Mailing Address - Country:US
Mailing Address - Phone:912-243-9080
Mailing Address - Fax:912-243-9084
Practice Address - Street 1:1207 MERCHANT WAY STE 201B
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-0862
Practice Address - Country:US
Practice Address - Phone:912-243-9080
Practice Address - Fax:912-243-9084
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY214695207R00000X
GA068726207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine