Organization
HAMILTON MEDICAL & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYWANNA HAMILTON CRNP (MEDICAL DIRECTOR)
(443) 550-4448
Entity
Organization
Contact information
Practice address
1100 MERCANTILE LN STE 136, LARGO, MD 20774-5367
(443) 550-4448
Mailing address
1100 MERCANTILE LN STE 136, LARGO, MD 20774-5367
(443) 550-4448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
208D00000X
General Practice Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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