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NPI Code Detail

MEDICARE: MISS MICHELLE NICOLE SCOTT CPHT

MEDICARE: MISS MICHELLE NICOLE SCOTT CPHT
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
1183700000XPharmacy Technician2001-1108-2401-772TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000023597OTHERTNTN. PHARMACY BOARD
24438568OTHERTNNCPDP

General Provider Information

NPI Number : 1346319498
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MICHELLE NICOLE SCOTT CPHT
Provider Business Mailing Address
First Line : 2580 BROWDER HOLLOW RD LOT 26
Second Line :
City : LENOIR CITY
State : TN
Zip : 37771-8166
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 501 ADESSA PKWY STE A150
Second Line :
City : LENOIR CITY
State : TN
Zip : 37771-6719
Country : US
Telephone Number : 865-986-4530
Fax Number : 865-986-4909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 03/07/2023

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Directions to “ MISS MICHELLE NICOLE SCOTT CPHT” Practice Location

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