Provider Demographics
NPI:1841444148
Name:HAMRICK, LOUISE WOOD (NP)
Entity type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:WOOD
Last Name:HAMRICK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 CARVER MILL RD
Mailing Address - Street 2:
Mailing Address - City:TALKING ROCK
Mailing Address - State:GA
Mailing Address - Zip Code:30175-3667
Mailing Address - Country:US
Mailing Address - Phone:706-692-5580
Mailing Address - Fax:706-272-2221
Practice Address - Street 1:352 CARVER MILL RD
Practice Address - Street 2:
Practice Address - City:TALKING ROCK
Practice Address - State:GA
Practice Address - Zip Code:30175-3667
Practice Address - Country:US
Practice Address - Phone:706-692-5580
Practice Address - Fax:706-272-2221
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARO60408363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily