Individual
CHARLIE HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC, LAT
Contact information
Practice address
3000 W CHURCH ST, CARLSBAD HIGH SCHOOL, CARLSBAD, NM 88220
(505) 302-8202
(505) 234-3399
Mailing address
312 N 11TH ST, CARLSBAD, NM 88220-3034
(505) 887-8408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
128
NM
Other
Enumeration date
08/14/2006
Last updated
08/29/2007
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