# HAMILTON MEDICAL & ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881286425
- **Authorized official:** TYWANNA HAMILTON CRNP (MEDICAL DIRECTOR)
- **Authorized official phone:** (443) 550-4448

## Contact information

- **Practice address:** 1100 MERCANTILE LN STE 136, LARGO, MD 20774-5367
- **Practice address phone:** (443) 550-4448
- **Mailing address:** 1100 MERCANTILE LN STE 136, LARGO, MD 20774-5367
- **Mailing address phone:** (443) 550-4448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/05/2021
- **Last updated:** 02/05/2021