Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | DS0000009459 | TN |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS0000009459 | TN |
NPI | 1013234145 |
---|---|
Provider Name | Dr. Margaret Tisdale Hamilton |
First Address | Hendersonville, TN 37075-6210 |
Second Address | Hendersonville, TN 37075-6210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2010 |
Last Update Date | 25/07/2014 |