Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 16175 | SC |
NPI | 1053349555 |
---|---|
Provider Name | Dr. Thomas E. Hamilton |
First Address | Greenville, SC 29605-4458 |
Second Address | Greenville, SC 29605-4458 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 31/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
161755 | (05) | SC |
F31765 | (02) | SC |