Provider Demographics
NPI:1750033437
Name:HAMMOND, PAMELA (CDP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 BUCKSLEY LN UNIT 304
Mailing Address - Street 2:
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492-8175
Mailing Address - Country:US
Mailing Address - Phone:843-676-5085
Mailing Address - Fax:
Practice Address - Street 1:300 BUCKSLEY LN UNIT 304
Practice Address - Street 2:
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-8175
Practice Address - Country:US
Practice Address - Phone:843-676-5085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-24
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCBLO26637-01-20223747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant