Healthcare Provider Details

I. General information

NPI: 1932307618
Provider Name (Legal Business Name): CHIMERE A ASHLEY HAMMETT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1522 N DIVISION ST
BLYTHEVILLE AR
72315-1448
US

IV. Provider business mailing address

1522 N DIVISION ST
BLYTHEVILLE AR
72315-1448
US

V. Phone/Fax

Practice location:
  • Phone: 870-838-7530
  • Fax: 870-838-7539
Mailing address:
  • Phone: 870-838-7530
  • Fax: 870-838-7539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE5771
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: