Individual
DR. WILLIAM M SCOTT III
Active
Individual
DR. WILLIAM M SCOTT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
8878
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088782
—
SC
01
—
42D1047821
CLIA NUMBER
SC
01
—
830438563
FEDERAL ID NUMBER
SC
05
—
GP4309
—
SC
Enumeration date
09/22/2005
Last updated
06/04/2020
Update your record
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