Individual
JEFFREY M HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1850 TOWN CENTER PKWY, STE 400, RESTON, VA 20190-3219
(703) 810-5202
(703) 810-5420
Mailing address
PO BOX 75420, BALTIMORE, MD 21275-5420
(703) 383-6469
(703) 385-1062
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003029
VA
363A00000X
Physician Assistant
3340
CO
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/01/2009
Last updated
10/26/2020
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