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NPI Code Detail

MEDICARE: DR. SCOTT W VANN MD

MEDICARE: DR. SCOTT W VANN 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
1208200000XPlastic Surgery Physician19802GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154317386
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT W VANN MD
Provider Business Mailing Address
First Line : 7208 HODGSON MEMORIAL DRIVE
Second Line :
City : SAVANNAH
State : GA
Zip : 31406-2512
Country : US
Telephone Number : 912-351-5050
Fax Number : 912-351-5051
Provider Business Practice Location Address
First Line : 7208 HODGSON MEMORIAL DRIVE
Second Line :
City : SAVANNAH
State : GA
Zip : 31406-2512
Country : US
Telephone Number : 912-351-5050
Fax Number : 912-351-5051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 12/27/2010

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