MEDICARE: DR. SCOTT H ALLEN MD

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	2085R0202X	Diagnostic Radiology Physician	18517	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	154758900	OTHER	SC	FEDERAL BLACK LUNG
2	B9734	OTHER	SC	MEDCOST
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	570525838	OTHER	SC	STANDARD TAX ID
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	066EJ	OTHER	NC	BCBS OF NORTH CAROLINA
7	154758900	OTHER	SC	US DEPT OF LABOR

General Provider Information

NPI Number	:	1093702508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT H ALLEN MD

Provider Business Mailing Address
First Line	:	1303 AZALEA CT
Second Line	:	STE C
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-5765
Country	:	US
Telephone Number	:	843-692-0570
Fax Number	:	843-497-9566

Provider Business Practice Location Address
First Line	:	1303 AZALEA CT
Second Line	:	SUITE C
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-5765
Country	:	US
Telephone Number	:	843-692-0570
Fax Number	:	843-497-9566

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

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	09/13/2016

Similar Medicare Providers

1942297635 — DR. GREGOR G CLEVELAND MD
Practice Location Address:

1303 AZALEA CT , SUITE C
MYRTLE BEACH, SC
29577-5765

Practice Phone: 843-692-0570
Practice Fax: 843-497-9566

1205893187 — DR. DAVID M WILLIAMS III MD
Practice Location Address:

1303 AZALEA CT STE B
MYRTLE BEACH, SC
29577-5765

Practice Phone: 843-692-0570
Practice Fax: 843-692-7641

1467400580 — DR. NILESH HARIBHAI PATEL M.D.
Practice Location Address:

1303 AZALEA CT STE B
MYRTLE BEACH, SC
29577-5765

Practice Phone: 843-692-0570
Practice Fax:

1881608594 — FAHEEM HUSSAIN M.D.
Practice Location Address:

1303 AZALEA CT , SUITE C
MYRTLE BEACH, SC
29577-5765

Practice Phone: 843-467-2676
Practice Fax: 843-497-9566

1598077596 — ROBERT H HAZELRIGG MD
Practice Location Address:

1303 AZALEA CT , SUITE C
MYRTLE BEACH, SC
29577-5765

Practice Phone: 843-692-0570
Practice Fax:

1942610381 — SEJONG LEE MD
Practice Location Address:

1303 AZALEA CT STE B
MYRTLE BEACH, SC
29577-5765

Practice Phone: 843-692-0570
Practice Fax:

Directions to “ DR. SCOTT H ALLEN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.