Individual
MRS. STEPHANIE L HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
102 BROOKSHIRE LN, BECKLEY, WV 25801-6761
(304) 647-6559
(304) 793-2270
Mailing address
176 DAWKINS DR, LEWISBURG, WV 24901-9302
(304) 647-4411
(304) 793-2270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01040
WV
363A00000X
Physician Assistant
280
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
562370581
SELECT NET (ACCORDIA)
WV
Enumeration date
06/13/2005
Last updated
09/16/2020
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