Provider Demographics
NPI:1447867031
Name:HAMPTON, CAROL LYNN
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:LYNN
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54403 TOWNSHIP ROAD 172
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:OH
Mailing Address - Zip Code:43824-9701
Mailing Address - Country:US
Mailing Address - Phone:740-502-4151
Mailing Address - Fax:
Practice Address - Street 1:54403 TOWNSHIP ROAD 172
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:OH
Practice Address - Zip Code:43824-9701
Practice Address - Country:US
Practice Address - Phone:740-502-4151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health