Individual
PATRICK FARRELL HAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4441 ATLANTA RD SE STE 312, SMYRNA, GA 30080
(470) 956-4200
Mailing address
4441 ATLANTA RD SE STE 312, SMYRNA, GA 30080-6443
(470) 956-4200
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
043383
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000791392A
—
GA
05
—
000791392B
—
GA
05
—
000791392C
—
GA
01
—
10065608
AMERIGROUP
GA
01
—
280000998
RAILROAD MEDICARE
GA
01
—
349778
WELLCARE
GA
05
—
G43383
—
SC
Enumeration date
06/04/2006
Last updated
10/09/2019
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