Individual
CODY JAMES HAMMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
751 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1538
(757) 873-2123
Mailing address
32 GOLDSMITH PL APT C, NEWPORT NEWS, VA 23606-2741
(919) 576-5255
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003858
VA
Other
Enumeration date
02/19/2020
Last updated
09/09/2024
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