Individual
MRS. SHIRLEY BROWN HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S MARSHALL ST STE 52, WINSTON SALEM, NC 27101-5858
(336) 577-5904
(336) 724-1194
Mailing address
1001 S MARSHALL ST STE 52, WINSTON SALEM, NC 27101-5858
(336) 577-5904
(336) 724-1194
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418980
—
NC
Enumeration date
07/19/2008
Last updated
07/31/2012
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