Organization
OBSTETRICS AND GYNECOLOGY ASSOCIATES OF THE EASTERN SHORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R SCOTT MD (PRESIDENT/OWNER)
(757) 442-6719
Entity
Organization
Contact information
Practice address
10243 ROGERS DRIVE, NASSAWADOX, VA 23413-0836
(757) 442-6719
(757) 442-7375
Mailing address
PO BOX 836, NASSAWADOX, VA 23413-0836
(757) 442-6719
(757) 442-7378
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02245
MEDICARE PTAN
VA
01
—
CN3911
RAILROAD MEDICARE PTAN
VA
Enumeration date
06/29/2006
Last updated
05/07/2008
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