Provider Demographics
NPI:1538712773
Name:SAXTON, JANET
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:SAXTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 ROSE ANNE LOOP
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:GA
Mailing Address - Zip Code:31811-6063
Mailing Address - Country:US
Mailing Address - Phone:706-457-1876
Mailing Address - Fax:
Practice Address - Street 1:90 ROSE ANNE LOOP
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:GA
Practice Address - Zip Code:31811-6063
Practice Address - Country:US
Practice Address - Phone:706-457-1876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA4004781458207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1876Other1876