Individual
DR. SCOTT A CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
83825 HIGHWAY 9, ASHLAND, AL 36251-7981
(256) 496-2576
(256) 354-1129
Mailing address
83825 HIGHWAY 9, ASHLAND, AL 36251-7981
(256) 496-2576
(256) 354-1129
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
00025351
AL
208600000X
Surgery Physician
036136916
IL
208600000X
Surgery Physician
Primary
25351
AL
208600000X
Surgery Physician
62414
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200083846
TAX ID
AL
05
—
310207
—
AL
05
—
529916800
—
AL
01
—
62414
WI STATE LIC
WI
Enumeration date
11/09/2005
Last updated
11/07/2023
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