Organization
DEBORAH HAMMOND-WICKFALL, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH F HAMMOND-WICKFALL M.D. (PRESIDENT)
(404) 265-6322
Entity
Organization
Contact information
Practice address
315 BOULEVARD NE, SUITE 520, ATLANTA, GA 30312-1200
(404) 265-6322
(404) 265-6321
Mailing address
PO BOX 54454, ATLANTA, GA 30308-0454
(404) 265-6322
(404) 265-6321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21991
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC3236
RR MEDICARE GROUP NO.
GA
01
—
P00161487
RR MEDICARE PIN
GA
Enumeration date
01/21/2007
Last updated
08/22/2020
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