Provider Demographics
NPI:1902370844
Name:GANEY, LINDSAY SIMMONS
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:SIMMONS
Last Name:GANEY
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 1:167 MADDOX RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35619-6535
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:825 ADAMS ST SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3709
Practice Address - Country:US
Practice Address - Phone:256-536-9020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-14
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant