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Individual

RONALD MACK HAMMOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 DOCTORS DR, SUITE C, JACKSONVILLE, NC 28546-6308
(910) 353-9994
(910) 353-5784
Mailing address
PO BOX 602484, SUITE C, CHARLOTTE, NC 28260-2484
(910) 353-9994
(910) 353-5784

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
26107
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265593693
NC
01
34D0246363
CLIA
01
38850
BCBS
05
8938850
NC
Enumeration date
12/12/2006
Last updated
08/03/2016
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