Provider Demographics
NPI:1528258159
Name:HAMBY, JANET S (MD)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:S
Last Name:HAMBY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:550 REDSTONE AVE W
Mailing Address - Street 2:SUITE 450
Mailing Address - City:CRESTVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:32536-6432
Mailing Address - Country:US
Mailing Address - Phone:850-689-2229
Mailing Address - Fax:850-689-2530
Practice Address - Street 1:550 REDSTONE AVE W
Practice Address - Street 2:SUITE 450
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32536-6432
Practice Address - Country:US
Practice Address - Phone:850-689-2229
Practice Address - Fax:850-689-2530
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2020-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME107874207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1077381Medicaid