Individual
DR. COLETTE MARIE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1668 WEST PEACE STREET, CANTON, MS 39046-4500
(662) 746-0907
Mailing address
1668 WEST PEACE STREET, CANTON, MS 39046-0588
(662) 746-0907
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17998
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07088805
—
MS
01
—
P00634038
RR MEDICARE PTAN
MS
Enumeration date
01/04/2007
Last updated
10/28/2010
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