Provider Demographics
NPI:1437729696
Name:HAMILTON HEALTH & WELLNESS LLC
Entity Type:Organization
Organization Name:HAMILTON HEALTH & WELLNESS LLC
Other - Org Name:MICHAEL HAMILTON
Other - Org Type:Other Name
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:901-245-9868
Mailing Address - Street 1:PO BOX 736
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38019-0736
Mailing Address - Country:US
Mailing Address - Phone:901-245-9868
Mailing Address - Fax:901-339-1282
Practice Address - Street 1:201 W LIBERTY AVE STE 101
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:TN
Practice Address - Zip Code:38019-2500
Practice Address - Country:US
Practice Address - Phone:901-245-9868
Practice Address - Fax:901-339-1282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty