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Individual

DR. CARL ALAN SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4451 COUNTRY CLUB RD STE 3A, STATESBORO, GA 30458-9238
(912) 764-2273
(912) 489-4762
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7211
(615) 628-6877

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054052
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10058885
AMERIGROUP
GA
05
218728918
GA
05
218728918A
GA
05
G54052
SC
Enumeration date
06/16/2006
Last updated
11/04/2025
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