| Amy Hamilton | |
|
4255 Wade Green Rd Nw Suite 414 Kennesaw GA 30144-1762 | |
| (678) 213-2194 | |
| (678) 213-2215 |
| Full Name | Amy Hamilton |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4255 Wade Green Rd Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Amy L Hamilton (CLINICAL COORDINATOR) |
| Authorized Official Contact | 4049735602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Hamilton 4255 Wade Green Rd Nw Suite 414 Kennesaw GA 30144-1762 Ph: (678) 213-2194 | Amy Hamilton 4255 Wade Green Rd Nw Suite 414 Kennesaw GA 30144-1762 Ph: (678) 213-2194 |
| NPI Number | 1730337643 |
|---|---|
| Provider Enumeration Date | 09/04/2008 |
| Last Update Date | 12/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730337643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC004110 (Georgia) | Primary |
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