Provider Demographics
NPI:1922462910
Name:HAMILTON, ALLAN
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 EXECUTIVE PARK DR STE C200
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4644
Mailing Address - Country:US
Mailing Address - Phone:855-670-6816
Mailing Address - Fax:865-670-6142
Practice Address - Street 1:9000 EXECUTIVE PARK DR STE C200
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4644
Practice Address - Country:US
Practice Address - Phone:865-670-6816
Practice Address - Fax:865-670-6142
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036156257207RC0200X, 207L00000X
TN65607207L00000X
IL036-156257207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine