Healthcare Provider Details

I. General information

NPI: 1730475179
Provider Name (Legal Business Name): SARAH ELIZABETH HAMMOND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2011
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PLASTIC SURGERY GROUP 80 HUMPHREYS BLVD #100
MEMPHIS TN
38120
US

IV. Provider business mailing address

1364 CORDOVA CV
GERMANTOWN TN
38138-2207
US

V. Phone/Fax

Practice location:
  • Phone: 901-761-9030
  • Fax:
Mailing address:
  • Phone: 901-682-4456
  • Fax: 901-207-4882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number59896
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number59896
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: