Provider Demographics
NPI:1578560538
Name:HAMMITT, GEORGE MONROE III (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:MONROE
Last Name:HAMMITT
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2089 SOUTHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-6478
Mailing Address - Country:US
Mailing Address - Phone:662-407-0801
Mailing Address - Fax:662-407-0807
Practice Address - Street 1:2089 SOUTHRIDGE DR
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-6478
Practice Address - Country:US
Practice Address - Phone:662-407-0801
Practice Address - Fax:662-407-0807
Is Sole Proprietor?:No
Enumeration Date:2005-07-06
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS14417207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00116578Medicaid
MS00116578Medicaid