Healthcare Provider Details

I. General information

NPI: 1245169085
Provider Name (Legal Business Name): MRS. CHERYL FRANCIS HAMILTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10101 WAXHAW MANOR DR
WAXHAW NC
28173-6846
US

IV. Provider business mailing address

6500 IRONKETTLE RD
CHARLOTTE NC
28270-0800
US

V. Phone/Fax

Practice location:
  • Phone: 704-290-1505
  • Fax: 704-243-3812
Mailing address:
  • Phone: 704-290-1505
  • Fax: 704-243-3812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7610
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: