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NPI Code Detail

MEDICARE: THOMAS WILLIAM SCOTT MD LLC

MEDICARE: THOMAS WILLIAM SCOTT MD LLC
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
1207V00000XObstetrics & Gynecology Physician035329GA

General Provider Information

NPI Number : 1538316435
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS WILLIAM SCOTT MD LLC
Provider Business Mailing Address
First Line : 3229 S CHEROKEE LN
Second Line : BUILDING 1400
City : WOODSTOCK
State : GA
Zip : 30188-4461
Country : US
Telephone Number : 678-445-8181
Fax Number : 678-445-8162
Provider Business Practice Location Address
First Line : 3229 S CHEROKEE LN
Second Line : BUILDING 1400
City : WOODSTOCK
State : GA
Zip : 30188-4461
Country : US
Telephone Number : 678-445-8181
Fax Number : 678-445-8162
Authorized Official
Title or Position : PHYSICIAN
Name : DR. THOMAS W SCOTT
Credential : MD
Telephone Number : 678-445-8181
Provider Enumeration Date : 08/21/2008
Last Update Date : 08/21/2008

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