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NPI Code Detail

MEDICARE: GEORGE MICHAEL SCARMON M.D.

MEDICARE: GEORGE MICHAEL SCARMON M.D.
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
1207Q00000XFamily Medicine PhysicianG25514CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1502505244OTHERCASS #
2G25514OTHERCASTATE LIC.

General Provider Information

NPI Number : 1538144258
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE MICHAEL SCARMON M.D.
Provider Business Mailing Address
First Line : PO BOX 7
Second Line :
City : NEVADA CITY
State : CA
Zip : 95959-0007
Country : US
Telephone Number : 530-470-0384
Fax Number : 530-470-0384
Provider Business Practice Location Address
First Line : 15301 TYLER FOOTE RD
Second Line :
City : NEVADA CITY
State : CA
Zip : 95959-9318
Country : US
Telephone Number : 530-292-3478
Fax Number : 530-292-3478
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 03/07/2023

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