Provider Demographics
NPI:1649661562
Name:HAMLIN, GINA BETH (ACUPUNCTURIST)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:BETH
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21629-1036
Mailing Address - Country:US
Mailing Address - Phone:443-448-4833
Mailing Address - Fax:443-448-4834
Practice Address - Street 1:221 MARKET ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:MD
Practice Address - Zip Code:21629-1036
Practice Address - Country:US
Practice Address - Phone:443-448-4833
Practice Address - Fax:443-448-4834
Is Sole Proprietor?:No
Enumeration Date:2015-02-13
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02099171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist