| Deborah Hammond-wickfall, M.D., P.C. | |
|
315 Boulevard Ne Suite 520 Atlanta GA 30312-1200 | |
| (404) 265-6322 | |
| (404) 265-6321 |
| Full Name | Deborah Hammond-wickfall, M.D., P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 315 Boulevard Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Deborah F Hammond-wickfall (PRESIDENT) |
| Authorized Official Contact | 4042656322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Hammond-wickfall, M.D., P.C. Po Box 54454 Atlanta GA 30308-0454 Ph: (404) 265-6322 | Deborah Hammond-wickfall, M.D., P.C. 315 Boulevard Ne Suite 520 Atlanta GA 30312-1200 Ph: (404) 265-6322 |
| NPI Number | 1134272131 |
|---|---|
| Provider Enumeration Date | 01/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134272131 | NPI | - | NPPES |
| DC3236 | Other | GA | RR MEDICARE GROUP NO. |
| P00161487 | Other | GA | RR MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21991 (Georgia) | Primary |
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