Individual
RUSSELL G SCARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E TICKLE ST, DYERSBURG, TN 38024-3120
(800) 228-0249
(252) 222-3602
Mailing address
PO BOX 39, MOREHEAD CITY, NC 28557-0039
(800) 228-0249
(252) 222-3602
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD014365
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3003918
—
TN
01
—
4052744
BLUE CROSS
TN
Enumeration date
07/23/2008
Last updated
07/23/2008
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