Individual
SUZANNE N/A SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 AVENUE J, GREENWOOD, MS 38930-6311
(662) 299-7513
Mailing address
507 AVENUE J, GREENWOOD, MS 38930-6311
(662) 299-7513
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
26752
MS
Other
Enumeration date
08/20/2024
Last updated
04/21/2025
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