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NPI Code Detail

MEDICARE: TERI SCOTT

MEDICARE: TERI SCOTT
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
1363LF0000XFamily Nurse Practitioner28388SC

General Provider Information

NPI Number : 1750089603
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERI SCOTT
Provider Business Mailing Address
First Line : PO BOX 23321
Second Line :
City : NEW YORK
State : NY
Zip : 10087-3321
Country : US
Telephone Number : 803-256-5300
Fax Number :
Provider Business Practice Location Address
First Line : 2435 FOREST DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2026
Country : US
Telephone Number : 803-256-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2023
Last Update Date : 03/02/2026

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Directions to “ TERI SCOTT ” Practice Location

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