MEDICARE: DR. JAMES J HAMMOCK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	44984	KY

General Provider Information

NPI Number	:	1245470426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES J HAMMOCK MD

Provider Business Mailing Address
First Line	:	2508 ROCKAWAY PL
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40511-8977
Country	:	US
Telephone Number	:	502-836-3888
Fax Number	:

Provider Business Practice Location Address
First Line	:	2508 ROCKAWAY PL
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40511-8977
Country	:	US
Telephone Number	:	502-836-3888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2009
Last Update Date	:	07/16/2012

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