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Individual

DR. SCOTT LEE SILLIMAN

Active
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Individual

DR. SCOTT LEE SILLIMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME72814
FL
2084N0400X
Neurology Physician
044099
GA
2084N0400X
Neurology Physician
Primary
ME72814
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000758502A
GA
05
000758502B
GA
05
3794407-00
FL
Enumeration date
03/11/2006
Last updated
07/28/2009
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