| Doctor Name: | MR. RODNEY DAVIE HAMBY |
| NPI Number: | 1003816513 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 5601001820 |
| Business Practice Address: | 5251 Clyde Park Sw Wyoming, MI - 46509 |
| Business Phone Number: | 6165321100 |
| Business Fax Number: | 6162492246 |
| Mailing Address: | 829 Forest Hill Ave Se, GRAND RAPIDS |
| State: | MI |
| Postal Code: | 495462387 |
| Phone Number: | 6169492410 |
| Fax Number: | 6169499948 |
| NPI Enumeration Date: | 07/26/2005 |
| NPI Last Update Date: | 03/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 5601001820 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |