MEDICARE: YVONNE LLAINE SCOTT 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
1	207V00000X	Obstetrics & Gynecology Physician	029945	GA

General Provider Information

NPI Number	:	1578743548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE LLAINE SCOTT M.D

Provider Business Mailing Address
First Line	:	2176 OAK RD STE B
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-2374
Country	:	US
Telephone Number	:	770-682-9002
Fax Number	:	770-682-0504

Provider Business Practice Location Address
First Line	:	2176 OAK RD STE B
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-2374
Country	:	US
Telephone Number	:	770-682-9002
Fax Number	:	770-682-0504

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

Provider Enumeration Date	:	11/07/2007
Last Update Date	:	04/28/2026

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