MEDICARE: DR. STEPHEN HAMMOND M.D

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	207ND0900X	Dermatopathology Physician	38654	SC
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	237599	MA

General Provider Information

NPI Number	:	1851553523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN HAMMOND M.D

Provider Business Mailing Address
First Line	:	8170 ROURK ST STE 100
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29572-4127
Country	:	US
Telephone Number	:	843-282-1915
Fax Number	:

Provider Business Practice Location Address
First Line	:	8170 ROURK ST STE 100
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29572-4127
Country	:	US
Telephone Number	:	843-282-1915
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2008
Last Update Date	:	01/21/2026

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