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NPI Code Detail

MEDICARE: DR. SCOTT WILLIS MCCORMICK DC

MEDICARE:  DR. SCOTT WILLIS MCCORMICK  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
1111N00000XChiropractorCHIR011408GA

General Provider Information

NPI Number : 1467566570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT WILLIS MCCORMICK DC
Provider Business Mailing Address
First Line : 900 GULF BLVD APT 202
Second Line :
City : INDIAN ROCKS BEACH
State : FL
Zip : 33785-2726
Country : US
Telephone Number : 215-694-4831
Fax Number :
Provider Business Practice Location Address
First Line : 3901 MARY ELIZA TRCE NW STE 201
Second Line :
City : MARIETTA
State : GA
Zip : 30064-1096
Country : US
Telephone Number : 215-694-4831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 03/30/2026

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Directions to “ DR. SCOTT WILLIS MCCORMICK DC” Practice Location

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