Individual provider · NPI-1
Ronald Mack Hammock, MD
Urology · Jacksonville, NC
NPI number1265593693
StatusActive
Last updated in NPPESAug 3, 2016
Details
- NPI
- 1265593693
- Entity type
- Individual (NPI-1)
- Name
- Ronald Mack Hammock
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2006
- Last updated
- Aug 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 26107 | NC | Yes |
Practice location
200 Doctors DrSuite C
Jacksonville, NC 28546-6308
Phone 910-353-9994 · Fax 910-353-5784
Mailing address
Po Box 602484Suite C
Charlotte, NC 28260-2484
Phone 910-353-9994 · Fax 910-353-5784
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