Most Relevant Information
Provider Data
| NPI Number: | 1003346909 |
| Provider Name: | TARA LEEANN HAMILTON FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1-164421 |
Most Important Dates
| Enumeration Date: | 06/14/2017 |
| Last Updated: | 08/27/2021 |
Provider Practice Location
1960 HIGHWAY 247 CONN
BYRON
GA
31008
Practice Location Phone/Fax
| Phone: | 4786542400 |
| Fax: |
Provider Mailing Location
1960 HIGHWAY 247
BYRON
GA
310085663
Provider Mailing Phone/Fax
| Phone: | 4786542400 |
| Fax: |