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General NPI Number Information
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NPI Number | 1699304162
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Entity Type | Individual
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Provider Name | HALEY SMITH HAMMOND MD
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Gender | Female
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 548 BLUE RIDGE AVE
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City | BEDFORD
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State | VA
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Zip | 24523-2604
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Country | US
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Telephone | 540-568-4723
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Fax | 540-586-5269
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Provider Business Mailing Address
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Address Line | 213 S JEFFERSON ST STE 1006
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City | ROANOKE
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State | VA
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Zip | 24011-1713
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Country | US
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Telephone | 540-224-5352
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101279274
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License Number State | VA
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