Basic Information
Provider Information
NPI: 1124109145
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMILL
FirstName: TRACY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 THORNTON LN
Address2:  
City: LEE
State: NH
PostalCode: 038246343
CountryCode: US
TelephoneNumber: 6032925196
FaxNumber:  
Practice Location
Address1: 425 RTE 125
Address2:  
City: BARRINGTON
State: NH
PostalCode: 03825
CountryCode: US
TelephoneNumber: 6036649003
FaxNumber: 6036647493
Other Information
ProviderEnumerationDate: 10/17/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X13045NHY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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