Provider Demographics
NPI:1588992887
Name:HAMMONDS, WILLIAM MATTHEW (PT, MS)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:MATTHEW
Last Name:HAMMONDS
Suffix:
Gender:M
Credentials:PT, MS
Other - Prefix:
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Mailing Address - Street 1:335 ROSELANE ST NW
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7902
Mailing Address - Country:US
Mailing Address - Phone:470-259-5226
Mailing Address - Fax:267-321-2044
Practice Address - Street 1:4523 FORSYTH RD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-4527
Practice Address - Country:US
Practice Address - Phone:478-254-7010
Practice Address - Fax:478-254-7012
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-24
Last Update Date:2015-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAPT006441225100000X
FLPT24204225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
202G708113Medicare PIN
202I658118Medicare PIN