Individual
DR. MARY PAT HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1953 SHEPHERDS STORE RD, BEDFORD, VA 24523-5510
(540) 494-0505
Mailing address
1953 SHEPHERDS STORE RD, BEDFORD, VA 24523-5510
(540) 494-0505
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
32199
TN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0101102768
VA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
26401
WV
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
32199
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5881421
—
VA
Enumeration date
05/31/2006
Last updated
07/25/2017
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