Organization
SILVERSAGE PHYSICIAN SERVICES OF SOUTH CAROLINA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L. SCOTT D.O. (PRESIDENT)
(423) 815-1605
Entity
Organization
Contact information
Practice address
2600 ELMS PLANTATION BLVD, NORTH CHARLESTON, SC 29406-9164
(843) 764-3500
Mailing address
PO BOX 23913, CHATTANOOGA, TN 37422-3913
(423) 815-1600
(423) 763-1118
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
09/14/2016
Last updated
01/23/2017
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