Individual
JOHNNY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7548
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000005540
—
AL
05
—
009937174
—
AL
01
—
051534696
BCBS
AL
01
—
300059424
RR MEDICARE
AL
01
—
D32905
VIVA
AL
Enumeration date
10/03/2006
Last updated
08/04/2011
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