Individual
DR. SCOTT GREGORY WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 S PANTOPS DR, CHARLOTTESVILLE, VA 22911-8672
(434) 977-5160
(434) 977-5202
Mailing address
110 SOUTH PANTOPS DR., CHARLOTTESVILLE, VA 22911
(434) 977-5160
(434) 977-5202
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101241345
VA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
0101241345
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0756400001
DMERC
VA
01
—
301551
ANTHEM
VA
01
—
P00427498
PALMETTO RR MEDICARE
VA
Enumeration date
04/06/2007
Last updated
09/07/2017
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