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Individual

DR. RANDALL A. SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-5999
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101043633
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000774
VALUE OPTIONS PROVIDER NU
05
010220912
VA
01
186472
ANTHEM PROVIDER NUMBER
01
20-3639329
PCHP PROVIDER NUMBER
01
2016148
CIGNA BEHAVIOR PROVIDER N
01
203639329001
TRICARE PROVIDER NUMBER
01
O87533
SENTARA/OPTIMA PROVIDER N
Enumeration date
08/03/2005
Last updated
03/12/2008
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