Provider Demographics
NPI:1417330085
Name:HAMMONDS, SOPHIA (MD, MPH, FAAFP)
Entity Type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:
Last Name:HAMMONDS
Suffix:
Gender:F
Credentials:MD, MPH, FAAFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 N HIGH ST STE 4-102
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1430
Mailing Address - Country:US
Mailing Address - Phone:614-636-5017
Mailing Address - Fax:614-688-6491
Practice Address - Street 1:800 N HIGH ST STE 4-102
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1430
Practice Address - Country:US
Practice Address - Phone:614-636-5017
Practice Address - Fax:614-688-6491
Is Sole Proprietor?:No
Enumeration Date:2015-07-01
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.130242207Q00000X
OH390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine