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NPI Code Detail

MEDICARE: SAVANNAH HAMILTON RN

MEDICARE: SAVANNAH HAMILTON RN
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
1163W00000XRegistered NurseRN312759GA

General Provider Information

NPI Number : 1871481002
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAVANNAH HAMILTON RN
Provider Business Mailing Address
First Line : 3478 LAKESIDE DR NE UNIT 3113
Second Line :
City : ATLANTA
State : GA
Zip : 30326-1871
Country : US
Telephone Number : 702-443-7169
Fax Number :
Provider Business Practice Location Address
First Line : 3478 LAKESIDE DR NE UNIT 3113
Second Line :
City : ATLANTA
State : GA
Zip : 30326-1871
Country : US
Telephone Number : 702-443-7169
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2025
Last Update Date : 06/26/2025

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