=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447914528
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DONALD SCOTT HAMILTON DC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/26/2021
-----------------------------------------------------
Last Update Date | 04/11/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3900 FORK SHOALS RD
-----------------------------------------------------
City | SIMPSONVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29680-6911
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-906-5751
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | ABUNDANT HEALTH CHIROPRACTIC AND WELLNESS
-----------------------------------------------------
City | SIMPSONVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29680-6911
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-409-6439
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 4731
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------