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NPI Code Detail

MEDICARE: DR. LATORYA ANN HAMILTON MD

MEDICARE: DR. LATORYA ANN HAMILTON MD
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
1207Q00000XFamily Medicine Physician4351032547MI

General Provider Information

NPI Number : 1669963047
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LATORYA ANN HAMILTON MD
Provider Business Mailing Address
First Line : 19020 FORT ST
Second Line :
City : RIVERVIEW
State : MI
Zip : 48193-6701
Country : US
Telephone Number : 734-362-5100
Fax Number :
Provider Business Practice Location Address
First Line : 19020 FORT ST
Second Line :
City : RIVERVIEW
State : MI
Zip : 48193-6701
Country : US
Telephone Number : 734-362-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2018
Last Update Date : 05/22/2026

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Directions to “ DR. LATORYA ANN HAMILTON MD” Practice Location

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