Individual
ERIC RANDOLPH SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 JOHNSTON-WILLIS DRIVE, RICHMOND, VA 23235
(804) 330-2097
Mailing address
PO BOX 5468, MARTINSVILLE, VA 24115-5468
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101248518
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477739431
—
VA
Enumeration date
01/21/2008
Last updated
09/28/2018
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