Individual
DR. SIMON V SCALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
(843) 577-5011
Mailing address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D24276
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26648
—
MD
Enumeration date
01/22/2006
Last updated
09/18/2015
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