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NPI Code Detail

MEDICARE: WILLIAM WARREN HAMM JR. CRNA

MEDICARE: WILLIAM WARREN HAMM JR. CRNA
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
1163W00000XRegistered NurseRN9530872FL

General Provider Information

NPI Number : 1750224317
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM WARREN HAMM JR. CRNA
Provider Business Mailing Address
First Line : 4636 OLD LOONEY MILL RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-2607
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4420 LAKE BOONE TRL
Second Line :
City : RALEIGH
State : NC
Zip : 27607-7505
Country : US
Telephone Number : 919-784-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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