Provider Demographics
NPI:1760588040
Name:HAMWY, MOUHAMMAD SAMER (MD)
Entity Type:Individual
Prefix:DR
First Name:MOUHAMMAD
Middle Name:SAMER
Last Name:HAMWY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 CADE ST STE D
Mailing Address - Street 2:
Mailing Address - City:HARTWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30643-1815
Mailing Address - Country:US
Mailing Address - Phone:706-376-6570
Mailing Address - Fax:706-856-6972
Practice Address - Street 1:162 CADE ST STE D
Practice Address - Street 2:
Practice Address - City:HARTWELL
Practice Address - State:GA
Practice Address - Zip Code:30643-1815
Practice Address - Country:US
Practice Address - Phone:706-376-6570
Practice Address - Fax:706-856-6972
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA038792207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA11BDHQJMedicare ID - Type Unspecified
GAF22201Medicare UPIN