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NPI Code Detail

MEDICARE: SCOTT A HOLLINGSWORTH M.D.

MEDICARE: SCOTT A HOLLINGSWORTH 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
1207R00000XInternal Medicine Physician18608SC
2208M00000XHospitalist Physician18608SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336145226
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT A HOLLINGSWORTH M.D.
Provider Business Mailing Address
First Line : PO BOX 3439
Second Line :
City : NORTH MYRTLE BEACH
State : SC
Zip : 29582-0439
Country : US
Telephone Number : 843-839-4447
Fax Number : 843-399-0123
Provider Business Practice Location Address
First Line : 3361 HIGHWAY 9 E
Second Line :
City : LITTLE RIVER
State : SC
Zip : 29566-7826
Country : US
Telephone Number : 843-497-5929
Fax Number : 843-399-0123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 03/20/2015

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Directions to “ SCOTT A HOLLINGSWORTH M.D.” Practice Location

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