Provider Demographics
NPI:1447758776
Name:PEOPLES, HAMILTON CASEY (HEALTH EDUCATOR)
Entity Type:Individual
Prefix:MR
First Name:HAMILTON
Middle Name:CASEY
Last Name:PEOPLES
Suffix:
Gender:M
Credentials:HEALTH EDUCATOR
Other - Prefix:MR
Other - First Name:HAMILTON
Other - Middle Name:CASEY
Other - Last Name:PEOPLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HEALTH EDUCATOR
Mailing Address - Street 1:1446 CHURCH ST STE C
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-2448
Mailing Address - Country:US
Mailing Address - Phone:757-227-4677
Mailing Address - Fax:
Practice Address - Street 1:1446 CHURCH ST STE C
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-2448
Practice Address - Country:US
Practice Address - Phone:757-227-4677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL172V00000X, 174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No172V00000XOther Service ProvidersCommunity Health Worker