Provider Demographics
NPI:1497702674
Name:HAMILTON FAMILY MEDICINE
Entity Type:Organization
Organization Name:HAMILTON FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SYNTHIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BEELER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-643-3772
Mailing Address - Street 1:PO BOX 11543
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37401-2543
Mailing Address - Country:US
Mailing Address - Phone:423-877-2312
Mailing Address - Fax:423-877-5855
Practice Address - Street 1:7405 SHALLOWFORD RD
Practice Address - Street 2:SUITE 160
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2661
Practice Address - Country:US
Practice Address - Phone:423-643-3772
Practice Address - Fax:423-643-3773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD31124207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty