Individual
EDIE R HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD-976
HI
363A00000X
Physician Assistant
PA9105892
FL
Other
Enumeration date
02/01/2011
Last updated
06/03/2022
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