Individual
DR. STEPHEN C HAMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
294 E LAYFAIR DR, FLOWOOD, MS 39232-9526
(601) 414-6520
Mailing address
PO BOX 23996, JACKSON, MS 39225
(601) 206-6100
(601) 206-6052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19226
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07838781
—
MS
Enumeration date
04/20/2007
Last updated
06/12/2023
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