Organization
SCOTT MEDINVESTMENT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON HERWIN SCOTT JR. DPM (PODIATRIST)
(609) 440-8714
Entity
Organization
Contact information
Practice address
3903 PORTAGE RD, SUITE C #161, SOUTH BEND, IN 46628-6191
(609) 440-8714
Mailing address
3903 PORTAGE RD, SUITE C #161, SOUTH BEND, IN 46628-6191
(609) 440-8714
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000990A
IN
Other
Enumeration date
06/03/2008
Last updated
09/30/2010
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