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JOHN WESLEY HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
975 E THIRD ST, CHATTANOOGA, TN 37403-2147
(423) 602-8400
(423) 602-8401
Mailing address
12449 N ANGELS GATE, HIGHLAND, UT 84003-3847
(423) 505-2031

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
12042620
UT
207L00000X
Anesthesiology Physician
Primary
DO1703
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009932404
AL
05
3319460
TN
01
4109069
BLUE CROSS BLUE SHIELD OF TENNESSEE
TN
05
5902170
NC
05
738961264A
GA
01
N373513
WELLCARE(GA MEDICAID)
GA
01
P00279136
MEDICARE RAILROAD
TN
Enumeration date
08/24/2006
Last updated
06/03/2025
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