Healthcare Provider Details

I. General information

NPI: 1902998552
Provider Name (Legal Business Name): MINA GARRETT-SCOTT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8255 GREENSBORO DR STE 150
MC LEAN VA
22102-4918
US

IV. Provider business mailing address

8255 GREENSBORO DR STE 150
MC LEAN VA
22102-4918
US

V. Phone/Fax

Practice location:
  • Phone: 517-416-8244
  • Fax: 571-441-5201
Mailing address:
  • Phone: 517-416-8244
  • Fax: 571-441-5201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101255650
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: