Individual
KEVIN DONALD SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
705 N DIVISION ST NW, BLDGE 315, ROME, GA 30165-1454
(706) 802-5870
(706) 802-0654
Mailing address
1620 HICKORY ST, SUITE 404, DALTON, GA 30720-2312
(706) 270-5002
(706) 270-5111
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN198193
GA
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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