Individual
JERRY MOORE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6184 OLD GLASGOW RD, SCOTTSVILLE, KY 42164
(270) 606-0909
Mailing address
6184 OLD GLASGOW RD, SCOTTSVILLE, KY 42164
(270) 606-0909
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
TN
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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