Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1089 | NC |
NPI | 1467438416 |
---|---|
Provider Name | Dr. Anthony Wayne Hamm |
First Address | Goldsboro, NC 27534-3477 |
Second Address | Goldsboro, NC 27534-3477 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2005 |
Last Update Date | 16/02/2010 |