Provider Demographics
NPI:1205930708
Name:HUBBELL, DAVID D (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:D
Last Name:HUBBELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15 MEDICAL DR NE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30121-8005
Mailing Address - Country:US
Mailing Address - Phone:770-386-5221
Mailing Address - Fax:770-386-1128
Practice Address - Street 1:15 MEDICAL DR NE
Practice Address - Street 2:SUITE 101
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30121-8005
Practice Address - Country:US
Practice Address - Phone:770-386-5221
Practice Address - Fax:770-386-1128
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2015-05-06
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Provider Licenses
StateLicense IDTaxonomies
GA33358208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAE17923Medicare UPIN