| Doctor Name: | DR. SALLY CHARLES HAMM |
| NPI Number: | 1306188966 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 28152 |
| Business Practice Address: | 4700 Las Vegas Blvd N 99mdos/sgop Nellis Afb, NV - 891916601 |
| Business Phone Number: | 7024041142 |
| Business Fax Number: | |
| Mailing Address: | 4700 Las Vegas Blvd N, 99mdos/sgop NELLIS AFB |
| State: | NV |
| Postal Code: | 891916601 |
| Phone Number: | 7024041142 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2013 |
| NPI Last Update Date: | 02/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 28152 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |