Provider Demographics
NPI:1366940538
Name:HAMILTON FAMILY MEDICINE, PLLC
Entity type:Organization
Organization Name:HAMILTON FAMILY MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYNTHIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BEELER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-643-3772
Mailing Address - Street 1:PO BOX 1391
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-1391
Mailing Address - Country:US
Mailing Address - Phone:865-670-6199
Mailing Address - Fax:865-670-6198
Practice Address - Street 1:2290 OGLETREE AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-8816
Practice Address - Country:US
Practice Address - Phone:423-643-3772
Practice Address - Fax:423-643-3773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty