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Individual

HEATH ELLIOTT SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
805 E FIFTEENTH ST, YAZOO CITY, MS 39194-7607
(662) 746-6083
(662) 746-1954
Mailing address
PO BOX 1509, YAZOO CITY, MS 39194-1509
(662) 746-6083
(662) 746-1954

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18042
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08201774
MS
Enumeration date
05/24/2006
Last updated
03/13/2008
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