Healthcare Provider Details

I. General information

NPI: 1215298773
Provider Name (Legal Business Name): RONALD F HAMMETT MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2012
Last Update Date: 05/31/2012
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

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

V. Phone/Fax

Practice location:
  • Phone: 318-329-8484
  • Fax:
Mailing address:
  • Phone: 318-329-8484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: RONALD F HAMMETT
Title or Position: OWNER
Credential: MD
Phone: 318-329-8484