Organization
CAROLYN A. HAMMETT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE DAVIS (BILLING MANAGER)
(410) 848-8202
Entity
Organization
Contact information
Practice address
1835 UNIVERSITY BLVD E, #226, HYATTSVILLE, MD 20783-4600
(410) 848-8202
(410) 848-2644
Mailing address
901 SLIGO CREEK PKWY, TAKOMA PARK, MD 20912-5810
(410) 848-8202
(410) 848-2644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D39966
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019941900
—
MD
01
—
0H36CA52078700
BC MD
MD
01
—
264118
UNITED HEALTHCARE
MD
01
—
40090001
BC DC/METRO
DC
Enumeration date
01/16/2008
Last updated
04/28/2008
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