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Individual

BERNARD H SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
27900 N MAIN ST, SUITE 1, DAPHNE, AL 36526-7077
(251) 621-1211
(251) 621-9052
Mailing address
27900 N MAIN ST, SUITE 1, DAPHNE, AL 36526-7077
(251) 621-1211
(251) 621-9052

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5330TA122
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000026434
AL
01
051026434
BCBS
01
1290420001
PALMETTO GBA
Enumeration date
05/22/2006
Last updated
08/04/2010
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