Individual
DR. LEE ANN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
110 RUSHING LANE, PO BOX 1681, STATESBORO, GA 30459
(912) 225-6447
(800) 470-4397
Mailing address
2511 WESTOVER DRIVE, STATESBORO, GA 30458
(912) 682-9650
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002411
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00859042A
—
GA
01
—
10046939
AMERIGROUP MEDICAID
GA
Enumeration date
11/29/2006
Last updated
07/21/2022
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