NPI 1003816513

Rodney Davie Hamby, PAC

Practitioner Medical Physician Assistant Grandville, MI

Practice location

Address: 3380 44th St SW, Grandville, MI 49418-2461
Phone: (616) 685-8250
Fax: (616) 532-3564
Mailing address: 1900 44th St SE, Kentwood, MI 49508-5008

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 5601001820 (MI)

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Registry record

NPI: 1003816513
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2005
Record last updated: 27 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.