Individual
JONETTE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15024 MARTIN LUTHER KING JR BLVD, GULFPORT, MS 39501-8306
(228) 864-0003
(228) 863-7917
Mailing address
PO BOX 475, BILOXI, MS 39533-0475
(228) 374-2494
(228) 374-0856
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12293
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012401
—
MS
Enumeration date
09/24/2006
Last updated
08/25/2011
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