MEDICARE: DR. JOE R HAMILL M.D.

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
1	207R00000X	Internal Medicine Physician	10185	OK

General Provider Information

NPI Number	:	1326059734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOE R HAMILL M.D.

Provider Business Mailing Address
First Line	:	207 C ST NW
Second Line	:
City	:	ARDMORE
State	:	OK
Zip	:	73401-6216
Country	:	US
Telephone Number	:	580-223-0655
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 C ST NW
Second Line	:
City	:	ARDMORE
State	:	OK
Zip	:	73401-6216
Country	:	US
Telephone Number	:	580-223-0655
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	07/08/2007

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