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NPI 1841090453

NPI 1841090453 : JOHN CHADWICK HAMMOND APC : LOUISVILLE, GA

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General NPI Number Information
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    NPI Number           |    1841090453
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN CHADWICK HAMMOND APC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/14/2025
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    Last Update Date     |    03/14/2025
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Provider Practice Location Address
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    Address Line         |    1067 PEACHTREE ST 
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    City                 |    LOUISVILLE
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    State                |    GA
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    Zip                  |    30434-1599
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    Country              |    US
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    Telephone            |    478-377-7676
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    Fax                  |    478-377-7680
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1137 
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    City                 |    THOMSON
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    State                |    GA
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    Zip                  |    30824-1137
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    Country              |    US
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    Telephone            |    706-833-9697
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    APC010276
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    License Number State |    GA
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