# GRANT HAROLD HAMMONS III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053429738
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01054051A | IN | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 03/14/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000191999 | ANTHEM | — |
| 01 | — | 160053259 | RAILROAD MCARE PALAMETTO | — |
| 05 | — | 200331350 | — | IN |
| 05 | — | 200331350A | — | IN |
| 05 | — | 200331350X | — | IN |
| 01 | — | P00855807 | RAILROAD MEDICARE | IN |