Individual
REGINA E. HAMMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1111 KNOX ABBOTT DR, CAYCE, SC 29033-3323
(803) 314-0660
(803) 314-0661
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
199422-1
NY
207P00000X
Emergency Medicine Physician
Primary
87861
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01579620
—
NY
01
—
685V91
BLUECROSS BLUESHIELD
NY
Enumeration date
01/06/2006
Last updated
08/28/2024
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