Individual
DR. SCOTT ANTHONY CORADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 527-7000
(843) 520-8403
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
879
SC
207P00000X
Emergency Medicine Physician
Primary
SC879
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008798
—
SC
01
—
879
LICENSE
SC
Enumeration date
08/11/2005
Last updated
11/13/2025
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