Individual
WILLIAM DERRICK SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2451 FILLINGIM ST, MOBILE, AL 36617-2238
(800) 232-5703
Mailing address
157 HOYE LN, LUCEDALE, MS 39452-9431
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-157469
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
908282
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
Other
Enumeration date
11/20/2020
Last updated
01/07/2021
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