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Gene Thomas Hamilton
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NPI Number Detailed Information
Provider Information:
| Name: | Gene Thomas Hamilton |
| Gender: | M |
| Provider License Number If Given: | 18774 |
NPI Information:
| NPI: | 1245224765 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 7/8/2007 |
Provider Business Mailing Address:
| Address: | 810 W H SMITH BLVD Greenville, NC 27834 |
| Phone Number: | 2527572663 |
| Fax Number: | 2523170829 |
Provider Business Practice Location Address:
| Address: | 810 W H SMITH BLVD Greenville, NC 27834 |
| Phone Number: | 2527572663 |
| Fax Number: | 2523170829 |
Provider Taxonomy:
| Primary: | 207X00000X |
| Secondary (if any): | |
| State: | NC |
