Individual
DR. MICHAEL SHANE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
118 FAIRFIELD DR, NEW ALBANY, MS 38652-3107
(662) 534-0898
(662) 534-8905
Mailing address
118 FAIRFIELD DR, NEW ALBANY, MS 38652-3107
(662) 534-0898
(662) 534-8905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17807
MS
208000000X
Pediatrics Physician
17807
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100147271
—
MS
Enumeration date
06/01/2005
Last updated
12/12/2025
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