Healthcare Provider Details

I. General information

NPI: 1891778684
Provider Name (Legal Business Name): SCOTT HENRY PATTERSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2005
Last Update Date: 04/18/2023
Certification Date: 04/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 TUSCALOOSA ST
MOBILE AL
36607-3422
US

IV. Provider business mailing address

PO BOX 7987
MOBILE AL
36670-0987
US

V. Phone/Fax

Practice location:
  • Phone: 251-433-3344
  • Fax: 251-433-4052
Mailing address:
  • Phone: 251-343-6848
  • Fax: 251-343-5708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number13254
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number13254
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: