Individual
SCOTT A CARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5606 OLD CANTON RD, JACKSON, MS 39211-4217
(601) 957-3333
(601) 957-3335
Mailing address
308 CORPORATE DR, RIDGELAND, MS 39157-8803
(601) 898-7500
(601) 898-7577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12827
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120404
—
MS
01
—
080134356
RAILROAD MEDICARE
—
01
—
1559113
AMERICAN ADMIN GROUP
MS
05
—
1756911
—
LA
Enumeration date
08/01/2006
Last updated
02/09/2016
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