MEDICARE: AARON SCOGGINS PA

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
1	363AM0700X	Medical Physician Assistant	PA2926	FL

General Provider Information

NPI Number	:	1447639471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON SCOGGINS PA

Provider Business Mailing Address
First Line	:	2090 COLUMBIANA RD STE 4000
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35216-2158
Country	:	US
Telephone Number	:	800-834-2420
Fax Number	:	205-536-8401

Provider Business Practice Location Address
First Line	:	2090 COLUMBIANA RD STE 4000
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35216-2158
Country	:	US
Telephone Number	:	800-834-2420
Fax Number	:	205-536-8401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2015
Last Update Date	:	05/22/2015

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