Individual
DAVID RANDOLPH SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10243 ROGERS DRIVE, NASSAWADOX, VA 23413
(757) 442-6719
(757) 442-7375
Mailing address
PO BOX 836, NASSAWADOX, VA 23413-0836
(757) 442-6719
(757) 442-7375
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101042418
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006200907
—
VA
01
—
051671
ANTHEM BC/BS OF VA
VA
01
—
322091
ANTHEM BC/BS OF VA
VA
01
—
52411
OPTIMA HEALTH
VA
01
—
C02245
MEDICARE PTAN
VA
01
—
C05079
MEDICARE PTAN
VA
01
—
CN3911
RAILROAD MEDICARE PTAN
VA
Enumeration date
03/20/2006
Last updated
05/07/2008
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