Provider Demographics
NPI:1740363746
Name:HAMILTON, KAREN T (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:T
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3950 AUSTELL ROAD
Mailing Address - Street 2:OB/GYN HOSPITALISTS OFFICE
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-1121
Mailing Address - Country:US
Mailing Address - Phone:770-732-4025
Mailing Address - Fax:770-732-4023
Practice Address - Street 1:3950 AUSTELL ROAD
Practice Address - Street 2:OB/GYN HOSPITALISTS OFFICE
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106
Practice Address - Country:US
Practice Address - Phone:770-732-4025
Practice Address - Fax:770-732-4023
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN51296207V00000X
GA61784207V00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4142875OtherBCBS
GA342552785AMedicaid
GA342552785BMedicaid
GA342552785CMedicaid
GA342552785CMedicaid
GA342552785BMedicaid