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MR. DERRICK WAYNE SCOGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 783-3362
(270) 780-0472
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 781-5111

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3016140
KY
363LF0000X
Family Nurse Practitioner
3016140
KY

Other

Enumeration date
06/21/2021
Last updated
11/13/2023
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