Individual
DR. LARRY KEITH SCARBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
4055 AL HIGHWAY 9, SUITE F, CEDAR BLUFF, AL 35959-5099
(256) 779-6057
Mailing address
PO BOX 97, GADSDEN, AL 35902-0097
(256) 492-0131
(256) 492-0131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11701
AL
207Q00000X
Family Medicine Physician
18421
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004197385
AETNA
AL
01
—
0110485
UNITEDHEALTH
AL
01
—
510-84460
BLUE CROSS
AL
01
—
62-1334345
ALL OTHER INSURANCE CO
AL
Enumeration date
12/01/2005
Last updated
05/01/2013
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