Individual
KATELYN MAE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1483 TOBIAS GADSON BLVD STE 103, CHARLESTON, SC 29407-4795
(843) 410-1583
Mailing address
202 WADE LN UNIT 201, CHARLESTON, SC 29414-7395
(502) 396-8076
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5093
SC
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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