Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 35 041722 | OH |
NPI | 1104842822 |
---|---|
Provider Name | Dr. Pamela Mary Hamilton |
First Address | Garfield Heights, OH 44125-0777 |
Second Address | Garfield Heights, OH 44125-2964 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0519586 | (05) | OH |
A78120 | (02) | OH |