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NPI Code Detail

MEDICARE: ALLISON HAMMOND LAT, ATC

MEDICARE: ALLISON HAMMOND LAT, ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistA0000167MD

General Provider Information

NPI Number : 1235556028
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON HAMMOND LAT, ATC
Provider Business Mailing Address
First Line : 5500 KNOLL NORTH DR STE 150
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2476
Country : US
Telephone Number : 443-542-0062
Fax Number : 443-542-0250
Provider Business Practice Location Address
First Line : 5500 KNOLL NORTH DR STE 150
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2476
Country : US
Telephone Number : 443-542-0062
Fax Number : 443-542-0250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2014
Last Update Date : 03/18/2014

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Directions to “ ALLISON HAMMOND LAT, ATC” Practice Location

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