Individual
MRS. KIM PUCKETT SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1041 N HIGHLAND AVE, MURFREESBORO, TN 37130-2450
(615) 617-3499
(615) 617-3627
Mailing address
5833 AEDC RD, ESTILL SPRINGS, TN 37330-3915
(931) 392-4169
(931) 392-4187
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD 031459
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3840636
—
TN
01
—
G079880281
MEDICARE
TN
Enumeration date
08/22/2005
Last updated
12/17/2018
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