Individual
MRS. JEANIE A HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
922 6TH AVE SE, SUITE A, DECATUR, AL 35601-3907
(256) 309-0454
(256) 309-0422
Mailing address
922 6TH AVE SE, SUITE A, DECATUR, AL 35601-3907
(256) 309-0454
(256) 309-0422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH773
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51535925
BCBS
AL
05
—
890017200
—
AL
Enumeration date
03/09/2007
Last updated
07/09/2007
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