Healthcare Provider Details

I. General information

NPI: 1770589137
Provider Name (Legal Business Name): DONALD LYNN HAMBY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 07/13/2021
Certification Date: 07/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6141 SHALLOWFORD RD STE 100
CHATTANOOGA TN
37421-1663
US

IV. Provider business mailing address

2204 SILVER SPRINGS DR
SIGNAL MOUNTAIN TN
37377-1276
US

V. Phone/Fax

Practice location:
  • Phone: 423-498-2000
  • Fax: 423-498-2001
Mailing address:
  • Phone: 901-271-1890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD0000012155
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number12155
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License NumberMD0000012155
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: