Provider Demographics
NPI:1215937784
Name:HAMILTON, STUART ARNIM (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:ARNIM
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4605 MONTICELLO RD
Mailing Address - Street 2:EAU CLAIRE COOPERATIVE HEALTH CENTER
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-4156
Mailing Address - Country:US
Mailing Address - Phone:803-252-5432
Mailing Address - Fax:803-252-2942
Practice Address - Street 1:4605 MONTICELLO RD
Practice Address - Street 2:EAU CLAIRE COOPERATIVE HEALTH CENTER
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-4156
Practice Address - Country:US
Practice Address - Phone:803-252-5432
Practice Address - Fax:803-252-2942
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC8091208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC080913Medicaid
C60097Medicare UPIN