MEDICARE: DR. MARY L SCOTT M.D.

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	207Q00000X	Family Medicine Physician	MD21743	TN

General Provider Information

NPI Number	:	1245237601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY L SCOTT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 400
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38302-0400
Country	:	US
Telephone Number	:	731-423-8697
Fax Number	:	731-422-5743

Provider Business Practice Location Address
First Line	:	2859 HIGHWAY 45 BYP
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-3618
Country	:	US
Telephone Number	:	731-660-8360
Fax Number	:	731-660-8377

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	04/09/2014

Similar Medicare Providers

1457346041 — JAMES EDWARD EGAN MD
Practice Location Address:

2863 HIGHWY 45 BYP
JACKSON, TN
38305-3618

Practice Phone: 731-422-0213
Practice Fax: 731-422-0357

1659613628 — JOSEPH LYNN GOOCH M.D.
Practice Location Address:

2863 HIGHWAY 45 BYP.
JACKSON, TN
38305-3618

Practice Phone: 731-422-0213
Practice Fax: 431-506-1798

1225032956 — LUIS PAGOAGA M.D.
Practice Location Address:

2859 HIGHWAY 45 BYP
JACKSON, TN
38305-3618

Practice Phone: 731-660-8360
Practice Fax: 731-660-8377

1285629386 — JACKSON CLINIC PA
Practice Location Address:

2863 HIGHWAY 45 BYP
JACKSON, TN
38305-3618

Practice Phone: 731-664-1375
Practice Fax: 731-664-1378

1518952514 — JAMES J DIFFEE MD
Practice Location Address:

2863 HIGHWAY 45 BYP
JACKSON, TN
38305-3618

Practice Phone: 731-664-1375
Practice Fax: 731-664-1378

1134114150 — DAVID GAREY MD
Practice Location Address:

2863 HIGHWAY 45 BYP
JACKSON, TN
38305-3618

Practice Phone: 731-664-1375
Practice Fax: 731-664-1378

Directions to “ DR. MARY L SCOTT M.D.” 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.