Individual
MR. DERRICK D HAMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 PLAZA DR STE C, GREENVILLE, NC 27858-6752
(919) 368-6414
Mailing address
205 PLAZA DR STE C, GREENVILLE, NC 27858-6752
(919) 368-6414
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HC4167
NC
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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