Individual
SCOTT L BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
(901) 685-9718
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 685-9718
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
15497
MS
2085R0202X
Diagnostic Radiology Physician
18178
TN
2085R0202X
Diagnostic Radiology Physician
E0794
AR
2085R0204X
Vascular & Interventional Radiology Physician
15497
MS
2085R0204X
Vascular & Interventional Radiology Physician
Primary
18178
TN
2085R0204X
Vascular & Interventional Radiology Physician
E0794
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116593
—
MS
05
—
115435001
—
AR
05
—
1523186
—
LA
05
—
203327010
—
MO
05
—
3038723
—
TN
01
—
3106310
BCBS TN
TN
01
—
4215138
AETNA
TN
01
—
90762
AR BCBS
AR
Enumeration date
06/30/2006
Last updated
04/03/2019
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