Provider Demographics
NPI:1699456194
Name:HAMILTON, DONALD PERON III
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:PERON
Last Name:HAMILTON
Suffix:III
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:DONALD
Other - Middle Name:PERON
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MR DONALD HAMILTON
Mailing Address - Street 1:4019 EMERALD LN APT D6
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3317
Mailing Address - Country:US
Mailing Address - Phone:703-973-4228
Mailing Address - Fax:
Practice Address - Street 1:4019 EMERALD LN APT D6
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3317
Practice Address - Country:US
Practice Address - Phone:703-973-4228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator