Provider Demographics
NPI:1699882860
Name:LATHROP, EVA HAMILTON (MD)
Entity type:Individual
Prefix:DR
First Name:EVA
Middle Name:HAMILTON
Last Name:LATHROP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:EVA
Other - Middle Name:HAMILTON
Other - Last Name:LATHROP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:80 JESSE HILL JR DR SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-3031
Mailing Address - Country:US
Mailing Address - Phone:404-778-7771
Mailing Address - Fax:404-778-4819
Practice Address - Street 1:80 JESSE HILL JR DR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3031
Practice Address - Country:US
Practice Address - Phone:404-778-7771
Practice Address - Fax:404-778-4819
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA052774207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA16BBCDJMedicare ID - Type Unspecified
H94858Medicare UPIN