Individual
GEORGE STACKHOUSE SCOVILLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4230 HARDING RD, SUITE 330, NASHVILLE, TN 37205
(615) 269-4545
(615) 565-6789
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 284-7260
(615) 284-7501
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11789
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3839628
—
TN
01
—
6011895
BLUE CROSS-BLUE SHIELD
TN
01
—
P00446966
RR MEDICARE
TN
Enumeration date
05/23/2006
Last updated
07/10/2018
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