Individual
TRACY HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCSH/RRT-SDS/RPSGT/R
Contact information
Practice address
1845 S GREEN ST, TUPELO, MS 38804-6501
(662) 377-3258
(662) 377-2212
Mailing address
1845 S GREEN ST, TUPELO, MS 38804-6501
(662) 377-3258
(662) 377-2212
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
622
MS
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
5436
MS
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
6654
MS
227800000X
Certified Respiratory Therapist
RCP1694
MS
227900000X
Registered Respiratory Therapist
RCP1694
MS
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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