MEDICARE: BENJAMIN CRAIG 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
1	207Q00000X	Family Medicine Physician	MD43636	TN

General Provider Information

NPI Number	:	1497948277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN CRAIG HAMILTON M.D.

Provider Business Mailing Address
First Line	:	6105 MALONEYVILLE RD
Second Line	:
City	:	CORRYTON
State	:	TN
Zip	:	37721-3721
Country	:	US
Telephone Number	:	865-567-9449
Fax Number	:

Provider Business Practice Location Address
First Line	:	6105 MALONEYVILLE RD
Second Line	:
City	:	CORRYTON
State	:	TN
Zip	:	37721-3721
Country	:	US
Telephone Number	:	865-567-9449
Fax Number	:

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

Provider Enumeration Date	:	08/24/2007
Last Update Date	:	09/21/2010

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