MEDICARE: KARLA EILEEN HEMPHILL HARRIS DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	94154	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750393948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLA EILEEN HEMPHILL HARRIS DO

Provider Business Mailing Address
First Line	:	100 GREENWAY BLVD FL 2
Second Line	:
City	:	CARROLLTON
State	:	GA
Zip	:	30117-4338
Country	:	US
Telephone Number	:	770-838-8710
Fax Number	:

Provider Business Practice Location Address
First Line	:	2908 BUSINESS 27
Second Line	:
City	:	BUCHANAN
State	:	GA
Zip	:	30113-4857
Country	:	US
Telephone Number	:	770-646-8281
Fax Number	:	770-646-3579

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	02/29/2024

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