=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245169085
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MRS. CHERYL FRANCIS HAMILTON
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/18/2026
-----------------------------------------------------
Last Update Date | 05/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10101 WAXHAW MANOR DR
-----------------------------------------------------
City | WAXHAW
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28173-6846
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-290-1505
-----------------------------------------------------
Fax | 704-243-3812
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6500 IRONKETTLE RD
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28270-0800
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-290-1505
-----------------------------------------------------
Fax | 704-243-3812
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 7610
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------