Provider Demographics
NPI:1851400485
Name:HEMSTREET, GEORGE P (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:P
Last Name:HEMSTREET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RICE MINE ROAD LOOP STE 104
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2421
Mailing Address - Country:US
Mailing Address - Phone:205-561-2370
Mailing Address - Fax:205-345-4921
Practice Address - Street 1:100 RICE MINE ROAD LOOP STE 104
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2421
Practice Address - Country:US
Practice Address - Phone:205-561-2370
Practice Address - Fax:205-345-4921
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00023663207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALH56057Medicare UPIN