Individual
DR. GREGORY TODD HAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
27015 JESS MORGAN RD, ROLAND, AR 72135-9016
(501) 552-2650
(501) 552-4298
Mailing address
27015 JESS MORGAN RD, ROLAND, AR 72135-9016
(501) 552-2650
(501) 552-4298
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
100875
WI
207P00000X
Emergency Medicine Physician
2005035772
MO
207P00000X
Emergency Medicine Physician
5101013518
MI
207P00000X
Emergency Medicine Physician
Primary
E-6704
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000099600G
KANSAS MEDICAID HCFA1500
KS
01
—
200266700B
MEDICAID
KS
01
—
200369760A
MEDICAID
KS
01
—
204642102
MEDICAID
MO
05
—
243419306
—
MO
01
—
G85352
BLUE CROSS BLUE SHIELD
KS
01
—
G85352
BLUE CROSS BLUE SHIELD
MO
Enumeration date
06/07/2006
Last updated
03/25/2024
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