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Individual

DR. KYLE EDWARD HAMMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 778-1573
Mailing address
704 N SUPERIOR AVE, DECATUR, GA 30033-5405

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
002762
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
70208
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002762
TEMPORARY LICENSE #
GA
Enumeration date
01/28/2008
Last updated
03/08/2021
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