Provider Demographics
NPI:1497920276
Name:HAMMOCK, RICHARD SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SCOTT
Last Name:HAMMOCK
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 1:218 HOSPITAL AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:OZARK
Mailing Address - State:AL
Mailing Address - Zip Code:36360-2064
Mailing Address - Country:US
Mailing Address - Phone:334-774-1982
Mailing Address - Fax:334-774-5867
Practice Address - Street 1:218 HOSPITAL AVE
Practice Address - Street 2:SUITE A
Practice Address - City:OZARK
Practice Address - State:AL
Practice Address - Zip Code:36360-2064
Practice Address - Country:US
Practice Address - Phone:334-774-1982
Practice Address - Fax:334-774-5867
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL29200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine