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Antjuan Hampton
NPI 1417578485 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1014 Natural Brook Trl
Lawrenceville, GA 30045 - Phone
- (662) 801-0563
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia