Provider Demographics
NPI:1588403034
Name:RESTORE PLASTIC SURGERY AND AESTHETICS, PLLC
Entity type:Organization
Organization Name:RESTORE PLASTIC SURGERY AND AESTHETICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-806-1289
Mailing Address - Street 1:1364 CORDOVA CV
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-2207
Mailing Address - Country:US
Mailing Address - Phone:901-682-4456
Mailing Address - Fax:901-207-4882
Practice Address - Street 1:1364 CORDOVA CV
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-2207
Practice Address - Country:US
Practice Address - Phone:901-682-4456
Practice Address - Fax:901-207-4882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty