Individual
CHARLES L SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 S 2ND ST, HARRISBURG, PA 17101-2515
(843) 467-2676
(843) 497-9566
Mailing address
PO BOX 536003, PITTSBURGH, PA 15253-5902
(800) 475-6236
(843) 497-9566
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2007-01573
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
OS017407
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3323712
HIGHMARK BS
PA
01
—
799631
MEDICARE
PA
Enumeration date
12/02/2005
Last updated
07/17/2019
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