Individual
MICHAEL TRENT SCATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, M.S.
Contact information
Practice address
117 KENNEDY DR, MARTIN, TN 38237-3309
(731) 587-9511
(731) 587-0785
Mailing address
117 KENNEDY DR, MARTIN, TN 38237-3309
(731) 587-9511
(731) 587-0785
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA791
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40152366
BLUE CROSS BLUE SHIELD
TN
01
—
970029695
RAILROAD MEDICARE
—
Enumeration date
02/23/2006
Last updated
10/30/2019
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