Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 15475 | MD |
N | 213EG0000X | General Practice | 15475 | MD |
Y | 1223P0221X | Pediatric Dentist | 33484 | TX |
NPI | 1083028773 |
---|---|
Provider Name | Dr. Christine Louise Hammer |
First Address | Virginia Beach, VA 23462-3153 |
Second Address | Virginia Beach, VA 23462-3153 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2014 |
Last Update Date | 17/03/2018 |