Provider Demographics
NPI:1770589137
Name:HAMBY, DONALD LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:LYNN
Last Name:HAMBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 SILVER SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:SIGNAL MOUNTAIN
Mailing Address - State:TN
Mailing Address - Zip Code:37377-1276
Mailing Address - Country:US
Mailing Address - Phone:901-271-1890
Mailing Address - Fax:
Practice Address - Street 1:6141 SHALLOWFORD RD STE 100
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1663
Practice Address - Country:US
Practice Address - Phone:423-498-2000
Practice Address - Fax:423-498-2001
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000012155174400000X, 2083A0300X
TN12155207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No174400000XOther Service ProvidersSpecialist
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNA96864Medicare UPIN
TNA96864Medicare UPIN
TN3003673Medicare ID - Type UnspecifiedHUMPHREYS MEDICARE #