Individual
RANDALL EUGENE SCOTT
Active
Individual
RANDALL EUGENE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0002449
MD
363AM0700X
Medical Physician Assistant
102483
NC
363AM0700X
Medical Physician Assistant
Primary
9103913
FL
363AM0700X
Medical Physician Assistant
PA-365
AL
Other
Enumeration date
01/17/2006
Last updated
11/22/2007
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