Healthcare Provider Details

I. General information

NPI: 1922281013
Provider Name (Legal Business Name): RONALD F HAMMETT, MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2007
Last Update Date: 12/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 THOMAS RD STE 104
WEST MONROE LA
71291-7365
US

IV. Provider business mailing address

602 LOOP RD
MONROE LA
71201-2450
US

V. Phone/Fax

Practice location:
  • Phone: 318-329-4313
  • Fax: 318-329-4316
Mailing address:
  • Phone: 318-323-6349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number014751
License Number StateLA

VIII. Authorized Official

Name: BRENDA ROBERTS
Title or Position: BILLING MANAGER
Credential:
Phone: 318-396-2715