MEDICARE: DR WILLIAM M SCOTT, MDVIP PA

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	261QP2300X	Primary Care Clinic/Center	8878	SC

General Provider Information

NPI Number	:	1184858136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR WILLIAM M SCOTT, MDVIP PA

Provider Business Mailing Address
First Line	:	206 WALL ST
Second Line	:
City	:	PIEDMONT
State	:	SC
Zip	:	29673-6754
Country	:	US
Telephone Number	:	864-295-1280
Fax Number	:	864-269-7948

Provider Business Practice Location Address
First Line	:	206 WALL ST
Second Line	:
City	:	PIEDMONT
State	:	SC
Zip	:	29673-6754
Country	:	US
Telephone Number	:	864-295-1293
Fax Number	:	864-295-1294

Authorized Official
Title or Position	:	CLINICAL MANAGER
Name	:	LINDA S HOOVER
Credential	:
Telephone Number	:	864-295-1280

Provider Enumeration Date	:	05/06/2009
Last Update Date	:	04/28/2020

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