Provider Demographics
NPI:1174214449
Name:HOLCOMBE, HANNAH GABRIEL
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:GABRIEL
Last Name:HOLCOMBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 SCHOOL HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:BAILEYTON
Mailing Address - State:AL
Mailing Address - Zip Code:35019-8462
Mailing Address - Country:US
Mailing Address - Phone:256-640-5444
Mailing Address - Fax:
Practice Address - Street 1:950 SCHOOL HOUSE RD
Practice Address - Street 2:
Practice Address - City:BAILEYTON
Practice Address - State:AL
Practice Address - Zip Code:35019-8462
Practice Address - Country:US
Practice Address - Phone:256-640-5444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant