Individual
MARK HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
533 E COUNTY LINE RD, SUITE #104, GREENWOOD, IN 46143-1073
(317) 859-3810
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 870-6754
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01046689
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200186440
—
IN
Enumeration date
09/08/2006
Last updated
03/31/2021
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