Hammond, Douglas Alan

Hammond, Douglas Alan is an individual health care provider with primary practice located at 6029 Walnut Grove Rd Suite 404, Memphis TN 38120-2112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hammond, Douglas Alan can be contacted via phone (901) 726-1056.

Contact Information

Primary practice address
6029 Walnut Grove Rd Suite 404 Memphis TN 38120-2112
Phone: (901) 726-1056
Fax: (901) 726-5867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0000029896 Tennessee

Profile Details

NPI number 1750355038
LBN Legal business name Hammond, Douglas Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Mar 29th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750355038 NPPES
Tennessee MEDICAID 38665371
Tennessee Other P00636087

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