Doctor Name: | DR. SCOTT L. HAMBLETON |
NPI Number: | 1003955626 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 20010 |
Business Practice Address: | 7048 Old Canton Road Suite 2001 Ridgeland, MS - 39157 |
Business Phone Number: | 6018509220 |
Business Fax Number: | 6012552606 |
Mailing Address: | 7048 Old Canton Road, Suite 2001 RIDGELAND |
State: | MS |
Postal Code: | 39157 |
Phone Number: | 6018509220 |
Fax Number: | 6012552606 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 08/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 20010 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |