Provider Demographics
NPI:1083993422
Name:HAMBY CHIROPRACTIC & WELLNESS,LTD.
Entity Type:Organization
Organization Name:HAMBY CHIROPRACTIC & WELLNESS,LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:W
Authorized Official - Last Name:HAMBY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:912-826-4444
Mailing Address - Street 1:P.O. BOX 643
Mailing Address - Street 2:115 EAST 5TH STREET
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326
Mailing Address - Country:US
Mailing Address - Phone:912-826-4444
Mailing Address - Fax:912-826-4445
Practice Address - Street 1:115 EAST 5TH STREET
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:GA
Practice Address - Zip Code:31326
Practice Address - Country:US
Practice Address - Phone:912-826-4444
Practice Address - Fax:912-826-4445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2718111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU21049Medicare UPIN