Provider Demographics
NPI:1396726683
Name:HAMILTON, IAN N JR (MD)
Entity type:Individual
Prefix:DR
First Name:IAN
Middle Name:N
Last Name:HAMILTON
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1109 BURLEYSON RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-3094
Mailing Address - Country:US
Mailing Address - Phone:706-259-3336
Mailing Address - Fax:706-370-7715
Practice Address - Street 1:1109 BURLEYSON RD
Practice Address - Street 2:SUITE 202
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-3094
Practice Address - Country:US
Practice Address - Phone:706-259-3336
Practice Address - Fax:706-370-7715
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA0473292086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery