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Individual
MARY JANE HAMMACK
Active
Individual
MARY JANE HAMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5387P
KY
363LF0000X
Family Nurse Practitioner
Primary
RN166815
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003145582A
—
GA
05
—
NP2728
—
SC
01
—
P01312094
RAILROAD MEDICARE
GA
Enumeration date
12/17/2007
Last updated
07/02/2014
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