MEDICARE: HAMMONDS HARMONY CARE

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
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1275041808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMMONDS HARMONY CARE

Provider Business Mailing Address
First Line	:	29 CLERVAUX DR
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72223-5510
Country	:	US
Telephone Number	:	501-952-6868
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 RAHLING CIR STE C1
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72223-6000
Country	:	US
Telephone Number	:	501-952-6868
Fax Number	:	501-868-7365

Authorized Official
Title or Position	:	OWNER
Name	:	SHUNA L THOMAS
Credential	:	APRN
Telephone Number	:	501-952-6868

Provider Enumeration Date	:	01/17/2018
Last Update Date	:	03/17/2018

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Directions to “HAMMONDS HARMONY CARE ” Practice Location

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