Organization
WILLOW RIDGE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA LYNETTE HAMM DO (OWNER/PHYSICIAN)
(304) 645-7503
Entity
Organization
Contact information
Practice address
333 N JEFFERSON ST, LEWISBURG, WV 24901-1116
(304) 645-7503
(304) 645-7582
Mailing address
333 N JEFFERSON ST, LEWISBURG, WV 24901-1116
(304) 645-7503
(304) 645-7582
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001633
—
WV
Enumeration date
04/09/2008
Last updated
07/09/2008
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