| Doctor Name: | TINA SHOOK HAMMONDS |
| NPI Number: | 1003110362 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFTS, CFM |
| License Number: | CFM02802 |
| Business Practice Address: | 1028 Atkinson St Laurinburg, NC - 283524721 |
| Business Phone Number: | 9102766061 |
| Business Fax Number: | 9102766586 |
| Mailing Address: | 1028 Atkinson St, LAURINBURG |
| State: | NC |
| Postal Code: | 283524721 |
| Phone Number: | 9102766061 |
| Fax Number: | 9102766586 |
| NPI Enumeration Date: | 12/30/2010 |
| NPI Last Update Date: | 01/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 224900000X |
| License Number: | CFM02802 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DE |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Mastectomy Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |