Individual
JOHN KEITH SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5360 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5682
(804) 346-3200
(804) 346-4075
Mailing address
1800 GLENSIDE DR, STE 105, RICHMOND, VA 23226-3769
(804) 288-0399
(804) 285-0088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101233714
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010065488
—
VA
05
—
1538103114
—
VA
01
—
301259
ANTHEM
VA
01
—
P00278448
MEDICARE RAILROAD
VA
Enumeration date
06/15/2006
Last updated
11/02/2011
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