Individual
MR. DONALD SCOGGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1203 AVE B, ELLISVILLE, MS 39437
(601) 477-8553
(601) 477-9158
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 399-6167
(601) 399-6281
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R732117
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114206
—
MS
Enumeration date
06/13/2006
Last updated
03/21/2023
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