Provider Demographics
NPI:1467438416
Name:HAMM, ANTHONY WAYNE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:WAYNE
Last Name:HAMM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1100 PARKWAY DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-3477
Mailing Address - Country:US
Mailing Address - Phone:919-751-1155
Mailing Address - Fax:919-751-1151
Practice Address - Street 1:1100 PARKWAY DR
Practice Address - Street 2:SUITE B
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-3477
Practice Address - Country:US
Practice Address - Phone:919-751-1155
Practice Address - Fax:919-751-1151
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1089111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic