Individual ProviderJustin HammonsStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address25 Kurtz St Apt 321, Athens, OH 45701-5007(740) 525-6999PECOS EnrollmentBased on the most recent information from CMS, provider Justin Hammons does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:10 AM.Profile DetailsProvider ID1740754738Provider TypeIndividualFull NameHammons, JustinGenderMaleSole ProprietorNoEnumeration Date1/14/2019Last Updated1/14/2019Contact InformationPractice LocationPractice Address25 Kurtz St Apt 321, Athens, OH 45701-5007Phone(740) 525-6999FaxUnlisted FaxMailing LocationMailing Address25 Kurtz St Apt 321, Athens, OH 45701-5007PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerOhioCode2255A2300XDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerOhio