Healthcare Provider Details

I. General information

NPI: 1568783124
Provider Name (Legal Business Name): ASHLEIGH U IGBOKWE-HAMILTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2010
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 PIEDMONT RD NE STE 200
ATLANTA GA
30305-1406
US

IV. Provider business mailing address

1605 CHURCH ST STE 610-110
DECATUR GA
30033-6065
US

V. Phone/Fax

Practice location:
  • Phone: 770-758-3230
  • Fax:
Mailing address:
  • Phone: 770-758-3230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number73677
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: