Individual
DR. MATTHEW WADE HAMBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
115 EAST 5TH STREET, RINCON, GA 31326-0643
(912) 826-4444
(912) 826-4445
Mailing address
PO BOX 643, RINCON, GA 31326-0643
(912) 826-4444
(912) 826-4445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2718
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00509935A
—
GA
01
—
52247352001
BLUE CROSS BLUE SHIELD
GA
Enumeration date
09/08/2006
Last updated
08/11/2010
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