MEDICARE: MS. TAMEKA HAMER BSW, MSA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172V00000X	Community Health Worker
2	104100000X	Social Worker
3	171W00000X	Contractor
4	174H00000X	Health Educator
5	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1720357502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TAMEKA HAMER BSW, MSA

Provider Business Mailing Address
First Line	:	PO BOX 825
Second Line	:	SOLUTION SPECIFIC SERVICES/TAMEKA HAMER
City	:	SMYRNA
State	:	GA
Zip	:	30081-0825
Country	:	US
Telephone Number	:	815-670-8152
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 COVE PL
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5203
Country	:	US
Telephone Number	:	815-670-8152
Fax Number	:

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

Provider Enumeration Date	:	12/22/2011
Last Update Date	:	01/14/2012

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