Provider Demographics
NPI:1801056668
Name:BICE, HAMILTON LEWIS (DO)
Entity type:Individual
Prefix:DR
First Name:HAMILTON
Middle Name:LEWIS
Last Name:BICE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-316-5800
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:216 MASON AVE
Practice Address - Street 2:
Practice Address - City:CAPE CHARLES
Practice Address - State:VA
Practice Address - Zip Code:23310-3200
Practice Address - Country:US
Practice Address - Phone:757-331-1422
Practice Address - Fax:757-331-1624
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2019-11-20
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Provider Licenses
StateLicense IDTaxonomies
VA0102202860207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVV3332CMedicare PIN
VA473276YWAUMedicare PIN