Provider Demographics
NPI:1861538837
Name:HAMILTON, THOMAS M (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:M
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:384 SWEETBRIER DR
Mailing Address - Street 2:
Mailing Address - City:DECATURVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38329-5247
Mailing Address - Country:US
Mailing Address - Phone:731-421-4407
Mailing Address - Fax:731-660-8773
Practice Address - Street 1:384 SWEETBRIER DR
Practice Address - Street 2:
Practice Address - City:DECATURVILLE
Practice Address - State:TN
Practice Address - Zip Code:38329-5247
Practice Address - Country:US
Practice Address - Phone:731-421-4407
Practice Address - Fax:731-660-8773
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13432207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine