Provider Demographics
NPI:1225443740
Name:TITUS, HAMER MANNING (MD)
Entity Type:Individual
Prefix:MRS
First Name:HAMER
Middle Name:MANNING
Last Name:TITUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:HAMER
Other - Middle Name:ELIZABETH
Other - Last Name:MANNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1120 15TH ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912-0004
Mailing Address - Country:US
Mailing Address - Phone:706-721-3052
Mailing Address - Fax:706-721-7501
Practice Address - Street 1:1120 15TH ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0004
Practice Address - Country:US
Practice Address - Phone:706-721-3052
Practice Address - Fax:706-721-7501
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA079702207V00000X
GA6821207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology