Provider Demographics
NPI:1841090453
Name:HAMMOND, JOHN CHADWICK (APC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:CHADWICK
Last Name:HAMMOND
Suffix:
Gender:M
Credentials:APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1137
Mailing Address - Street 2:
Mailing Address - City:THOMSON
Mailing Address - State:GA
Mailing Address - Zip Code:30824-1137
Mailing Address - Country:US
Mailing Address - Phone:706-833-9697
Mailing Address - Fax:
Practice Address - Street 1:1067 PEACHTREE ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:GA
Practice Address - Zip Code:30434-1599
Practice Address - Country:US
Practice Address - Phone:478-377-7676
Practice Address - Fax:478-377-7680
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC010276101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health