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Organization

ONSLOW UROLOGY CLINIC

Active
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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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