Provider Demographics
NPI:1003644139
Name:HAMMOND, ADRIAN N
Entity type:Individual
Prefix:MS
First Name:ADRIAN
Middle Name:N
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43019-9568
Mailing Address - Country:US
Mailing Address - Phone:740-501-9165
Mailing Address - Fax:
Practice Address - Street 1:12 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:FREDERICKTOWN
Practice Address - State:OH
Practice Address - Zip Code:43019-9568
Practice Address - Country:US
Practice Address - Phone:740-501-9165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator