Provider Demographics
NPI:1184905002
Name:HAMBY, CHRISTIE HOLLAR (LMBT)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:HOLLAR
Last Name:HAMBY
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 N GREEN ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3258
Mailing Address - Country:US
Mailing Address - Phone:828-432-2008
Mailing Address - Fax:828-432-2980
Practice Address - Street 1:512 N GREEN ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3258
Practice Address - Country:US
Practice Address - Phone:828-432-2008
Practice Address - Fax:828-432-2980
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11032174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist