Individual
TAMMY SCOGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
978 STATE ROAD 60 E, MITCHELL, IN 47446-6108
(812) 545-3800
Mailing address
978 STATE ROAD 60 E, MITCHELL, IN 47446-6108
(812) 545-3800
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
27057767A
IN
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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