Individual
MARSHALL HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3003 SHORTCUT RD, PASCAGOULA, MS 39567-1810
(228) 809-5000
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R753472
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01725859
—
MS
Enumeration date
01/15/2007
Last updated
07/08/2007
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