MEDICARE: MELANIE HAMILTON

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1801251517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE HAMILTON

Provider Business Mailing Address
First Line	:	2175 STOCKWELL RD
Second Line	:	APT 1323
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-5762
Country	:	US
Telephone Number	:	318-834-0330
Fax Number	:

Provider Business Practice Location Address
First Line	:	2175 STOCKWELL RD
Second Line	:	APT 1323
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-5762
Country	:	US
Telephone Number	:	318-834-0330
Fax Number	:

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

Provider Enumeration Date	:	12/22/2015
Last Update Date	:	09/29/2018

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Directions to “ MELANIE HAMILTON ” Practice Location

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