Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERON JOHN HAMMACK, DO
Active Sole ProprietorDERON JOHN HAMMACK, DO is a Family Medicine healthcare provider located in LAVALETTE, West Virginia. NPI 1194963769 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAVALETTE, WV
Registration Details
- NPI Number
- 1194963769
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 4, 2009 (17.48054975455 yrs)
- Last Updated
- Aug 13, 2010
- Licenses
-
2487 (WV)2487 (WV)TP322 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
143 BEUHRING STLAVALETTE, WV, 255358706Browse WV providers · Browse ZIP 25535
- Phone
- 3045257272
- Fax
- 3045257272
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LAVALETTE, WV
| Name | Credential | NPI |
|---|---|---|
| KEVIN SCOTT MCCANN | MD | 1346201191 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.