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Individual

MARILYNN K HAMMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
32392
MN
2084P0800X
Psychiatry Physician
Primary
AL00023036
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
149053
VALUE OPTS
01
240539
COMPSYCH
01
51522461
BCBS OF AL
Enumeration date
10/31/2005
Last updated
12/14/2018
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