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Individual

SCOTT MATTHEW RAWLINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, CNP

Contact information

Practice address
10547 MONTGOMERY RD, SUITE 400, MONTGOMERY, OH 45242-4418
(513) 791-6611
Mailing address
PO BOX 637783, CINCINNATI, OH 45263-7783
(513) 853-4749
(513) 853-4740

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT001575
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.13772-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0079881
OH
05
201152330
IN
Enumeration date
10/28/2008
Last updated
07/01/2014
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