Provider Demographics
NPI:1639524432
Name:HAMMETT CLINIC, PA
Entity Type:Organization
Organization Name:HAMMETT CLINIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:HALL
Authorized Official - Last Name:HAMMETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-467-8969
Mailing Address - Street 1:3710 LANDMARK DR
Mailing Address - Street 2:SUITE 114
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-4062
Mailing Address - Country:US
Mailing Address - Phone:803-391-5918
Mailing Address - Fax:
Practice Address - Street 1:3710 LANDMARK DR
Practice Address - Street 2:SUITE 114
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-4062
Practice Address - Country:US
Practice Address - Phone:803-391-5918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-29
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC26144261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty