Healthcare Provider Details

I. General information

NPI: 1063685816
Provider Name (Legal Business Name): HEATHER CELEST HAMMONDS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER CELEST GRIFFITH

II. Dates (important events)

Enumeration Date: 04/11/2008
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 RESTORE DR
MOUNTAIN HOME AR
72653-4641
US

IV. Provider business mailing address

103 RESTORE DR
MOUNTAIN HOME AR
72653-4641
US

V. Phone/Fax

Practice location:
  • Phone: 870-232-5309
  • Fax: 870-232-5313
Mailing address:
  • Phone: 870-232-5309
  • Fax: 870-232-5313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberE13599
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: