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Organization
NANCY SCATTERGOOD DONAVAN MD
Active
Organization
NANCY SCATTERGOOD DONAVAN MD
Active
Other names
Nancy Scattergood MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY LEE SCATTERGOOD MD (PHYSICIAN)
(802) 379-5874
Entity
Organization
Contact information
Practice address
2074 S STREAM RD, BENNINGTON, VT 05201-8886
(802) 379-5874
(802) 442-6703
Mailing address
2074 S STREAM RD, BENNINGTON, VT 05201-8886
(802) 379-5874
(802) 442-6703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420006890
VT
207Q00000X
Family Medicine Physician
0420010148
VT
363LF0000X
Family Nurse Practitioner
1010021887
VT
Other
Enumeration date
12/15/2006
Last updated
06/30/2008
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