Provider Demographics
NPI:1003955626
Name:HAMBLETON, SCOTT L (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:L
Last Name:HAMBLETON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7048 OLD CANTON ROAD
Mailing Address - Street 2:SUITE 2001
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157
Mailing Address - Country:US
Mailing Address - Phone:601-850-9220
Mailing Address - Fax:601-255-2606
Practice Address - Street 1:7048 OLD CANTON ROAD
Practice Address - Street 2:SUITE 2001
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157
Practice Address - Country:US
Practice Address - Phone:601-850-9220
Practice Address - Fax:601-255-2606
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2015-08-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS200102084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine