Individual
GEORGE C SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 N FREMONT ST, MANTECA, CA 95336-4725
(209) 239-4100
(209) 239-4110
Mailing address
210 N FREMONT ST, MANTECA, CA 95336-4725
(209) 239-4100
(209) 239-4110
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G55402
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G554020
—
CA
05
—
2176339
—
CA
Enumeration date
12/30/2005
Last updated
05/22/2020
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