Individual
CAROL SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
821 N COBB ST, MILLEDGEVILLE, GA 31061-2343
(478) 454-3830
Mailing address
2014 JOLLY RD, BALTIMORE, MD 21209-1014
(410) 602-9722
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
057322
GA
207P00000X
Emergency Medicine Physician
D34537
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
482371100
—
MD
01
—
60609101
BLUE CROSS
MD
01
—
P00287588
RAILROAD MEDICARE
MD
Enumeration date
06/12/2006
Last updated
11/30/2022
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