Individual
JONATHAN MATTHEW SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3224
Mailing address
215 DELHI AVE APT J, COLUMBUS, OH 43202-1056
(847) 302-4455
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6520
OH
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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