Provider Demographics
NPI:1215902531
Name:HAMRICK, JOHN D (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:D
Last Name:HAMRICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 N HENRY ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-4117
Mailing Address - Country:US
Mailing Address - Phone:757-984-1200
Mailing Address - Fax:757-903-4279
Practice Address - Street 1:332 N HENRY ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-4117
Practice Address - Country:US
Practice Address - Phone:757-984-1200
Practice Address - Fax:757-903-4279
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101025806207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010207550Medicaid
VA010207550Medicaid
008885S33Medicare ID - Type Unspecified