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NPI Code Detail

MEDICARE: DR. HOWARD KENTON HAMILTON M.D.

MEDICARE: DR. HOWARD KENTON HAMILTON 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
12085R0202XDiagnostic Radiology Physician8907TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154329845
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOWARD KENTON HAMILTON M.D.
Provider Business Mailing Address
First Line : PO BOX 3990
Second Line :
City : CLEVELAND
State : TN
Zip : 37320-3990
Country : US
Telephone Number : 423-479-6214
Fax Number : 423-559-6856
Provider Business Practice Location Address
First Line : 2305 CHAMBLISS AVE NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37311-3847
Country : US
Telephone Number : 423-479-6214
Fax Number : 423-559-6856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/08/2007

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