Individual
CHARLES W SCOWCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 MEDICAL CENTER DR STE 308, PADUCAH, KY 42003-7915
(270) 443-0777
(270) 443-0999
Mailing address
225 MEDICAL CENTER DR STE 308, PADUCAH, KY 42003-7915
(270) 443-0777
(270) 443-0999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
11819
SC
207RG0100X
Gastroenterology Physician
Primary
TP500
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118198
—
SC
Enumeration date
05/24/2006
Last updated
01/11/2019
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