Provider Demographics
NPI:1225202401
Name:MARILYNN HAMMOND MD LLC
Entity type:Organization
Organization Name:MARILYNN HAMMOND MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARILYNN
Authorized Official - Middle Name:K
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-343-3888
Mailing Address - Street 1:273 AZALEA RD
Mailing Address - Street 2:ONE OFFICE PARK, SUITE 302
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-1970
Mailing Address - Country:US
Mailing Address - Phone:251-343-3888
Mailing Address - Fax:
Practice Address - Street 1:273 AZALEA RD
Practice Address - Street 2:ONE OFFICE PARK, SUITE 302
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-1970
Practice Address - Country:US
Practice Address - Phone:251-343-3888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty