Doctor Name: | MR. ROBERT WARREN HAMM |
NPI Number: | 1063695211 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RT(R)(CT) |
License Number: | RHT 92668 |
Business Practice Address: | 2995 Smithfield Rd Tellico Plains, TN - 373855903 |
Business Phone Number: | 8772914882 |
Business Fax Number: | |
Mailing Address: | 2995 Smithfield Rd, TELLICO PLAINS |
State: | TN |
Postal Code: | 373855903 |
Phone Number: | 8772914882 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2007 |
NPI Last Update Date: | 12/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3401X |
License Number: | RHT 92668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Computed Tomography |
Taxonomy Definition: |