Provider Demographics
NPI:1518900612
Name:HAMMOND, SABRINA W (MD)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:W
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6170 SHALLOWFORD RD
Mailing Address - Street 2:101
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1892
Mailing Address - Country:US
Mailing Address - Phone:423-648-4500
Mailing Address - Fax:423-855-7563
Practice Address - Street 1:2021 HAMILTON PLACE BLVD
Practice Address - Street 2:G
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-6046
Practice Address - Country:US
Practice Address - Phone:423-899-6222
Practice Address - Fax:423-499-0294
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000015460207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
3023960Medicare ID - Type Unspecified
A98789Medicare UPIN