Individual
JUD TANNER HAMMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 YOUNTS RD, INDIAN TRAIL, NC 28079-8505
(704) 882-6853
(704) 882-7842
Mailing address
2101 YOUNTS RD, INDIAN TRAIL, NC 28079-8505
(704) 882-6853
(704) 882-7842
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
34447
NC
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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