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Johnathon Hammonds

Home Health in Lumberton, NC. Individual provider (NPI-1).

NPI number1104698166
StatusActive
Last updated in NPPESOct 25, 2023

Details

NPI
1104698166
Entity type
Individual (NPI-1)
Name
Johnathon Hammonds
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 24, 2023
Certification date
Oct 25, 2023
Last updated
Oct 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home HealthHC7181NCYes

Practice location

325 E 4th St
Lumberton, NC 28358-5526

Phone 910-992-4556

Mailing address

325 E 4th St
Lumberton, NC 28358-5526

Phone 910-992-4556

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