Individual
MR. RENARD GARCIA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HS
Contact information
Practice address
4000 COAST GUARD BLVD, MEDICAL DIVISION, PORTSMOUTH, VA 23703-2135
(757) 483-8597
(757) 483-8610
Mailing address
4000 COAST GUARD BLVD, MEDICAL DIVISION, PORTSMOUTH, VA 23703-2135
(757) 483-8597
(757) 483-8610
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
12/16/2005
Last updated
07/18/2007
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