Individual
DR. GLEN R SCOTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
146 E HOSPITAL DR STE 120A, WEST COLUMBIA, SC 29169-4800
(803) 936-7076
(803) 936-7925
Mailing address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
(864) 366-9012
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0590
SC
2084N0400X
Neurology Physician
Primary
590
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0590
—
SC
Enumeration date
07/07/2006
Last updated
01/18/2024
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