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NPI Code Detail

MEDICARE: DR. MARIBEL RODRIGUEZ-SCOTT DO

MEDICARE: DR. MARIBEL RODRIGUEZ-SCOTT DO
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 Physician1134SC
2208D00000XGeneral Practice Physician1134SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1JBM04730OTHERSCJUA
21134OTHERSCSTATE LICENSE NUMBER
342D1077950OTHERSCCLIA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
610167OTHERSCSC PCF
712706OTHERILBROAD CERTIFICATION

General Provider Information

NPI Number : 1922090539
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIBEL RODRIGUEZ-SCOTT DO
Provider Business Mailing Address
First Line : 2810 ASHLEY PHOSPHATE RD
Second Line : SUITE A-6
City : NORTH CHARLESTON
State : SC
Zip : 29418-6405
Country : US
Telephone Number : 843-553-7744
Fax Number : 843-553-7734
Provider Business Practice Location Address
First Line : 2810 ASHLEY PHOSPHATE RD
Second Line : SUITE A-6
City : NORTH CHARLESTON
State : SC
Zip : 29418-6405
Country : US
Telephone Number : 843-553-7744
Fax Number : 843-553-7734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 09/17/2024

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