Individual
DR. JENNIE BAKER SCOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
411 TOWN PARK BLVD, EVANS, GA 30809-3487
(706) 854-2500
(706) 854-2559
Mailing address
550 PROFESSIONAL DR, MACON, GA 31201-1411
(478) 741-3007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
67792
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125065M
—
GA
05
—
003125065O
—
GA
05
—
003125065Q
—
GA
Enumeration date
04/09/2007
Last updated
10/27/2025
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