Individual
MARK J SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
7945 WOLF RIVER BLVD, STE 300, GERMANTOWN, TN 38138-1762
(901) 684-2400
(901) 722-0442
Mailing address
7945 WOLF RIVER BLVD, STE 300, GERMANTOWN, TN 38138-1762
(901) 684-2400
(901) 722-0442
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
06PA022
MS
207RH0003X
Hematology & Oncology Physician
Primary
PA0004
TN
207RH0003X
Hematology & Oncology Physician
PA174
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124028469
BCBS AR
AR
05
—
3668933
—
TN
Enumeration date
07/28/2005
Last updated
10/06/2009
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