Individual
DR. SCOTT NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
907 E SUNFLOWER RD, STE 101, CLEVELAND, MS 38732-2830
(662) 721-1399
(662) 721-1380
Mailing address
907 E SUNFLOWER RD, STE 101, CLEVELAND, MS 38732-2830
(662) 721-1399
(662) 721-1380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12527
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115141
—
MS
Enumeration date
10/18/2006
Last updated
07/08/2007
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