Provider Demographics
NPI:1245606722
Name:HAMILTON, S. MARIE BELL (NP)
Entity Type:Individual
Prefix:MRS
First Name:S. MARIE
Middle Name:BELL
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:STACY
Other - Middle Name:MARIE
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1949 GUNBARREL ROAD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421
Mailing Address - Country:US
Mailing Address - Phone:423-495-4349
Mailing Address - Fax:423-495-4934
Practice Address - Street 1:6401 MOUNTAIN VIEW RD
Practice Address - Street 2:SUITE 101
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363
Practice Address - Country:US
Practice Address - Phone:423-495-5890
Practice Address - Fax:423-495-5899
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20268363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner