Individual
MARK L HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6263 POPLAR AVE, #1052, MEMPHIS, TN 38119-4701
(901) 844-1431
(901) 761-4145
Mailing address
PO BOX 383227, GERMANTOWN, TN 38183-3227
(901) 844-1431
(901) 761-4145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15646
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116351
—
MS
05
—
3010268
—
TN
01
—
4069880
BCBS
TN
Enumeration date
07/13/2006
Last updated
10/14/2022
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