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NPI Code Detail

MEDICARE: DR. SHANNA SCOTT DC

MEDICARE:  DR. SHANNA  SCOTT  DC
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
1111N00000XChiropractor12499TX

General Provider Information

NPI Number : 1245640903
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHANNA SCOTT DC
Provider Business Mailing Address
First Line : 215 DALTON DR STE C4
Second Line :
City : DESOTO
State : TX
Zip : 75115-4454
Country : US
Telephone Number : 214-628-1952
Fax Number :
Provider Business Practice Location Address
First Line : 215 DALTON DR STE C4
Second Line :
City : DESOTO
State : TX
Zip : 75115-4454
Country : US
Telephone Number : 214-628-1952
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2014
Last Update Date : 05/04/2014

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Directions to “ DR. SHANNA SCOTT DC” Practice Location

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