Organization
ONSLOW UROLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD MACK HAMMOCK MD (MD)
(910) 353-9994
Entity
Organization
Contact information
Practice address
200 DOCTORS DRIVE, SUITE C, JACKSONVILLE, NC 28546-6308
(910) 353-9994
(919) 353-5784
Mailing address
200 DOCTORS DRIVE, SUITE C, JACKSONVILLE, NC 28546-6308
(910) 353-9994
(919) 353-5784
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
26107
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02344
BCBS
NC
05
—
7902344
—
NC
Enumeration date
01/22/2007
Last updated
08/22/2020
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