Individual
CARY C. SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W LORAIN ST, OBERLIN, OH 44074-1026
(440) 775-1211
(440) 775-9118
Mailing address
PO BOX 65274, CHARLOTTE, NC 28265-0274
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-05-3269-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0628520
—
OH
01
—
5619197341B1P
BLUECROSS BLUESHIELD
OH
Enumeration date
01/26/2006
Last updated
07/08/2007
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