| Hamilton Health Llc | |
|
709 Old Trolley Rd Summerville SC 29485-5203 | |
| (843) 900-6767 | |
| Not Available |
| Full Name | Hamilton Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 709 Old Trolley Rd, Summerville, South Carolina |
| Authorized Official Name and Position | Tyler Sean Hamilton (OWNER) |
| Authorized Official Contact | 8434710485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamilton Health Llc 709 Old Trolley Rd Summerville SC 29485-5203 Ph: (843) 900-6767 | Hamilton Health Llc 709 Old Trolley Rd Summerville SC 29485-5203 Ph: (843) 900-6767 |
| NPI Number | 1619673456 |
|---|---|
| Provider Enumeration Date | 02/02/2023 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Medicare PECOS PAC ID | 9638544364 |
|---|---|
| Medicare Enrollment ID | O20230412000945 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619673456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tyler Sean Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407159056 PECOS PAC ID: 0547635278 Enrollment ID: I20230412001063 |
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