Provider Demographics
NPI:1336901305
Name:HAMBY, GEORGANNA ELIZABETH
Entity type:Individual
Prefix:
First Name:GEORGANNA
Middle Name:ELIZABETH
Last Name:HAMBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 SHORELINE DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35010-5664
Mailing Address - Country:US
Mailing Address - Phone:256-749-7749
Mailing Address - Fax:
Practice Address - Street 1:681 SHORELINE DR
Practice Address - Street 2:
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-5664
Practice Address - Country:US
Practice Address - Phone:256-749-7749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program