Provider Demographics
NPI:1205014099
Name:HAMMOND, CATHY S
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:S
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10372 MARTINSVILLE HWY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-6889
Mailing Address - Country:US
Mailing Address - Phone:434-685-3030
Mailing Address - Fax:434-685-3075
Practice Address - Street 1:10372 MARTINSVILLE HWY
Practice Address - Street 2:SUITE 3
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-6889
Practice Address - Country:US
Practice Address - Phone:434-685-3030
Practice Address - Fax:434-685-3075
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004396174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist