Provider Demographics
NPI:1114989662
Name:HAMARD, VANESA DOANCHELL (DPM)
Entity Type:Individual
Prefix:MRS
First Name:VANESA
Middle Name:DOANCHELL
Last Name:HAMARD
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:MISS
Other - First Name:VANESA
Other - Middle Name:DOANCHELL
Other - Last Name:FINKLEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:126 HARVEST LOOP
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2046
Mailing Address - Country:US
Mailing Address - Phone:254-833-8219
Mailing Address - Fax:
Practice Address - Street 1:300 W HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:FORT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905-5741
Practice Address - Country:US
Practice Address - Phone:706-787-6898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL271213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist