Provider Demographics
NPI:1003052663
Name:HAMILTON, SHERRY ELIZABETH (MTOM, LAC)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:ELIZABETH
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MTOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22454 THREE NOTCH RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-2052
Mailing Address - Country:US
Mailing Address - Phone:240-538-3359
Mailing Address - Fax:
Practice Address - Street 1:22454 THREE NOTCH RD
Practice Address - Street 2:SUITE 103
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-2052
Practice Address - Country:US
Practice Address - Phone:240-538-3359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-31
Last Update Date:2008-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01681171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist