Doctor Name: | STEPHEN L HAMMERMAN |
NPI Number: | 1700946175 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD021578 |
Business Practice Address: | 601 South Main Street Ste A Goodlettsville, TN - 37072 |
Business Phone Number: | 6158592973 |
Business Fax Number: | 6158516797 |
Mailing Address: | 601 South Main St, Ste A GOODLETTSVILLE |
State: | TN |
Postal Code: | 37072 |
Phone Number: | 6158592973 |
Fax Number: | 6158516797 |
NPI Enumeration Date: | 12/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD021578 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |