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Individual

CHARLES C SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 TOWN CTR STE 1900, SOUTHFIELD, MI 48075-1152
(657) 237-2450
(714) 455-3686
Mailing address
506 N ELM ST, LITTLE ROCK, AR 72205-3928

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101245862
VA
207P00000X
Emergency Medicine Physician
2009-01263
NC
207P00000X
Emergency Medicine Physician
E-7951
AR
207Q00000X
Family Medicine Physician
Primary
E-7951
AR

Other

Enumeration date
05/29/2007
Last updated
07/29/2021
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