Provider Demographics
NPI:1386737294
Name:HAMILTON, THOMAS FRANCIS (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:FRANCIS
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2252 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:BUENA VISTA
Mailing Address - State:VA
Mailing Address - Zip Code:24416-3122
Mailing Address - Country:US
Mailing Address - Phone:540-261-7421
Mailing Address - Fax:540-261-1952
Practice Address - Street 1:2252 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:BUENA VISTA
Practice Address - State:VA
Practice Address - Zip Code:24416-3122
Practice Address - Country:US
Practice Address - Phone:540-261-7421
Practice Address - Fax:540-261-1952
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101035242207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5640695Medicaid
VA5640695Medicaid
VAB05546Medicare UPIN