Individual
MRS. CARLA REBECCA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4940 EASTERN AVE, 301 BUILDING, BALTIMORE, MD 21224-2735
(410) 550-0465
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0003390
MD
Other
Enumeration date
01/11/2007
Last updated
01/09/2023
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