Provider Demographics
NPI:1336521087
Name:ALICIA TL HAMLTON D.C.
Entity Type:Organization
Organization Name:ALICIA TL HAMLTON D.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:THI LU
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-671-9939
Mailing Address - Street 1:2921 BROOKMERE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1110
Mailing Address - Country:US
Mailing Address - Phone:434-218-2466
Mailing Address - Fax:434-288-0314
Practice Address - Street 1:1710 ALLIED ST STE 20B
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-5341
Practice Address - Country:US
Practice Address - Phone:434-218-2466
Practice Address - Fax:434-288-0314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557063111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty