Individual
DR. SALLYE S. SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
119 S MAIN STREET, SARDIS, MS 38666
(662) 487-1316
(662) 487-9270
Mailing address
PO BOX 385, SARDIS, MS 38666-0385
(662) 487-1316
(662) 487-9270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
472
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087881
—
MS
Enumeration date
06/28/2006
Last updated
03/31/2008
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