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Amy Hamilton

Community/Behavioral Health in Kennesaw, GA. Organization (NPI-2).

NPI number1730337643
StatusActive
Last updated in NPPESDec 19, 2012

Details

NPI
1730337643
Entity type
Organization (NPI-2)
Legal business name
Amy Hamilton
Organization subpart
No
Enumeration date
Sep 4, 2008
Last updated
Dec 19, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral HealthLPC004110GAYes

Practice location

4255 Wade Green Rd Nw
Suite 414
Kennesaw, GA 30144-1762

Phone 678-213-2194 · Fax 678-213-2215

Mailing address

4255 Wade Green Rd Nw
Suite 414
Kennesaw, GA 30144-1762

Phone 678-213-2194 · Fax 678-213-2215

Authorized official

Amy L Hamilton
Clinical Coordinator
4049735602

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