Provider Demographics
NPI:1750602405
Name:HAMMONDS, KARON NACHELLE (KARON HAMMONDS, MD)
Entity type:Individual
Prefix:
First Name:KARON
Middle Name:NACHELLE
Last Name:HAMMONDS
Suffix:
Gender:F
Credentials:KARON HAMMONDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 LACY STREET
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060
Mailing Address - Country:US
Mailing Address - Phone:770-793-7635
Mailing Address - Fax:770-793-7645
Practice Address - Street 1:100 LACY STREET
Practice Address - Street 2:SUITE 150
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060
Practice Address - Country:US
Practice Address - Phone:770-793-7635
Practice Address - Fax:770-793-7645
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA72330208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation