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:
Health care specialties
| Specialty | Code | License # | 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 | Mar 31st, 2026 - about 8 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073246203 | NPPES |
| North Carolina | MEDICAID | 1073246203 |
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