Goodrum, Hannah Leigh

Goodrum, Hannah Leigh is an individual health care provider with primary practice located at 210 Ashville Ave , Cary NC 27518-6676. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Goodrum, Hannah Leigh can be contacted via phone (919) 350-9355.

Contact Information

Primary practice address
210 Ashville Ave Cary NC 27518-6676
Phone: (919) 350-9355
Fax: (919) 851-6757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 0010-12258 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-12258 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0010-12258 North Carolina

Profile Details

NPI number 1073246203
LBN Legal business name Goodrum, Hannah Leigh
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2022
Last updated Jun 17th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073246203 NPPES
North Carolina MEDICAID 1073246203

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