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NPI Code Detail

MEDICARE: DR. JENNIFER L HAMILTON DPM

MEDICARE: DR. JENNIFER L HAMILTON DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist36003303OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11154462638OTHERJENNIFER L HAMILTON, DPM, LLC NPI

General Provider Information

NPI Number : 1043213739
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER L HAMILTON DPM
Provider Business Mailing Address
First Line : 15455 MOUND BUILDERS RD
Second Line :
City : GLENFORD
State : OH
Zip : 43739-9703
Country : US
Telephone Number : 740-403-9558
Fax Number :
Provider Business Practice Location Address
First Line : 420 N JAMES RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1834
Country : US
Telephone Number : 614-257-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 08/23/2017

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