Provider Demographics
NPI:1801024054
Name:HAY, GEORGIA CATHERINE (MD)
Entity Type:Individual
Prefix:
First Name:GEORGIA
Middle Name:CATHERINE
Last Name:HAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GEORGIA
Other - Middle Name:CATHERINE
Other - Last Name:JUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1205 CENTRAL TEXAS EXPY
Mailing Address - Street 2:
Mailing Address - City:LAMPASAS
Mailing Address - State:TX
Mailing Address - Zip Code:76550-3388
Mailing Address - Country:US
Mailing Address - Phone:512-556-5362
Mailing Address - Fax:512-556-8004
Practice Address - Street 1:1205 CENTRAL TEXAS EXPY
Practice Address - Street 2:
Practice Address - City:LAMPASAS
Practice Address - State:TX
Practice Address - Zip Code:76550-3388
Practice Address - Country:US
Practice Address - Phone:512-565-5362
Practice Address - Fax:512-556-8004
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8104207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX300476401Medicaid