Healthcare Provider Details

I. General information

NPI: 1710940788
Provider Name (Legal Business Name): WARREN C HAMMERT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 ARRINGDON PARK DR STE 300
MORRISVILLE NC
27560-5677
US

IV. Provider business mailing address

5601 ARRINGDON PARK DR STE 300
MORRISVILLE NC
27560-5677
US

V. Phone/Fax

Practice location:
  • Phone: 919-385-4260
  • Fax: 919-684-1147
Mailing address:
  • Phone: 919-385-4260
  • Fax: 919-684-1147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number2205611
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number220561
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number220561
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number220561
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: