Individual
TANISHA HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
209 NICKLAUS CT, EVANS, GA 30809-5123
(954) 696-5919
Mailing address
PO BOX 1841, EVANS, GA 30809-1841
(954) 696-5919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
897736
TX
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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