Provider Demographics
NPI:1497990220
Name:HAMMER, DAVID LUDVIG (MD MPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LUDVIG
Last Name:HAMMER
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10535 TURNER RD
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-2438
Mailing Address - Country:US
Mailing Address - Phone:678-762-1929
Mailing Address - Fax:
Practice Address - Street 1:10535 TURNER RD
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-2438
Practice Address - Country:US
Practice Address - Phone:678-762-1929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA058675207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine