Deborah Hammond-wickfall, M.d., P.c. | |
315 Boulevard Ne Suite 520 Atlanta GA 30312-1200 | |
(404) 265-6322 | |
(404) 265-6321 |
Full Name | Deborah Hammond-wickfall, M.d., P.c. |
---|---|
Speciality | Internal Medicine |
Location | 315 Boulevard Ne, Atlanta, Georgia |
Authorized Official Name and Position | Deborah F Hammond-wickfall (PRESIDENT) |
Authorized Official Contact | 4042656322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Deborah Hammond-wickfall, M.d., P.c. Po Box 54454 Atlanta GA 30308-0454 Ph: (404) 265-6322 | Deborah Hammond-wickfall, M.d., P.c. 315 Boulevard Ne Suite 520 Atlanta GA 30312-1200 Ph: (404) 265-6322 |
NPI Number | 1134272131 |
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Provider Enumeration Date | 01/21/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134272131 | NPI | - | NPPES |
DC3236 | Other | GA | RR MEDICARE GROUP NO. |
P00161487 | Other | GA | RR MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 21991 (Georgia) | Primary |
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