MEDICARE: DR. SCOTT CHASLEY MARTIN 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	22055	MS

General Provider Information

NPI Number	:	1437388055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT CHASLEY MARTIN M.D.

Provider Business Mailing Address
First Line	:	732 CLINTON PKWY
Second Line	:
City	:	CLINTON
State	:	MS
Zip	:	39056-5227
Country	:	US
Telephone Number	:	601-924-7994
Fax Number	:	601-924-7671

Provider Business Practice Location Address
First Line	:	732 CLINTON PKWY
Second Line	:
City	:	CLINTON
State	:	MS
Zip	:	39056-5227
Country	:	US
Telephone Number	:	601-924-7994
Fax Number	:	601-924-7671

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

Provider Enumeration Date	:	07/02/2009
Last Update Date	:	08/12/2020

Similar Medicare Providers

1780652362 — JODY T ADAMS CFNP
Practice Location Address:

728 CLINTON PKWY , SUITE B
CLINTON, MS
39056-5227

Practice Phone: 601-200-4800
Practice Fax: 601-924-0473

1184778508 — DR. ARTURO ENRIQUE BLANCO MD
Practice Location Address:

728 CLINTON PKWY STE B
CLINTON, MS
39056-5227

Practice Phone: 601-200-4800
Practice Fax: 601-200-4805

1184946170 — ELIZABETH CLARK ALLEN CFNP
Practice Location Address:

728 CLINTON PKWY STE B
CLINTON, MS
39056-5227

Practice Phone: 601-200-4800
Practice Fax: 601-200-4805

1376951921 — JENNIFER RUSSUM
Practice Location Address:

732 CLINTON PKWY
CLINTON, MS
39056-5227

Practice Phone: 601-924-7994
Practice Fax:

1578300851 — ASHTON WILSON GRAVES
Practice Location Address:

728 CLINTON PKWY STE B
CLINTON, MS
39056-5227

Practice Phone: 601-200-4800
Practice Fax:

1699320028 — EYEGLASSES ONLINE DIRECT
Practice Location Address:

41975 BROOKVIEW LN
CLINTON TOWNSHIP, MI
48038-5227

Practice Phone: 586-915-7465
Practice Fax:

Directions to “ DR. SCOTT CHASLEY MARTIN 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 © 2007-2025 (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.