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NPI Code Detail

MEDICARE: DR. SCOTT WELLS AINSWORTH MD

MEDICARE:  DR. SCOTT WELLS AINSWORTH  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician035799GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1005857OTHERGABLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3122605OTHERGAUNITED HEALTHCARE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033196183
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT WELLS AINSWORTH MD
Provider Business Mailing Address
First Line : PO BOX 759
Second Line :
City : BLAIRSVILLE
State : GA
Zip : 30514-0759
Country : US
Telephone Number : 706-745-8800
Fax Number : 706-745-8805
Provider Business Practice Location Address
First Line : 35 HOSPITAL RD
Second Line :
City : BLAIRSVILLE
State : GA
Zip : 30512-3139
Country : US
Telephone Number : 706-745-8800
Fax Number : 706-745-8805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 05/07/2014

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Directions to “ DR. SCOTT WELLS AINSWORTH MD” Practice Location

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