DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ROBERT SCANLON DO

MEDICARE: ROBERT SCANLON DO
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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician65886GA
2207RP1001XPulmonary Disease Physician65886GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19392179OTHERCIGNA
2P2754298OTHEROXFORD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
43263210OTHERAETNA
52K3975OTHERHEALTHNET

General Provider Information

NPI Number : 1609874197
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT SCANLON DO
Provider Business Mailing Address
First Line : PO BOX 407
Second Line :
City : VIDALIA
State : GA
Zip : 30475-0407
Country : US
Telephone Number : 912-537-4986
Fax Number : 912-538-8109
Provider Business Practice Location Address
First Line : 1811 EDWINA DR
Second Line :
City : VIDALIA
State : GA
Zip : 30474-8963
Country : US
Telephone Number : 912-538-8105
Fax Number : 912-538-8109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 06/20/2025

Similar Medicare Providers

1366440984 — MARK HOERMAN MD
Practice Location Address:
1811 EDWINA DR
VIDALIA, GA
30474-8963
Practice Phone: 912-538-8105
Practice Fax: 912-538-8109
1437145208 — DR. KURT PATRICK HOFMANN M.D.
Practice Location Address:
1811 EDWINA DR
VIDALIA, GA
30474-8963
Practice Phone: 912-538-9977
Practice Fax:
1780672287 — DR. GREGORY NORKUS M.D.
Practice Location Address:
1811 EDWINA DR
VIDALIA, GA
30474-8963
Practice Phone: 912-538-9977
Practice Fax:
1689789703 — NANCY ELWOOD, MD PC
Practice Location Address:
1811 EDWINA DR
VIDALIA, GA
30474-8963
Practice Phone: 912-538-9774
Practice Fax: 912-608-8037
1396944633 — SOUTHEASTERN CARDIOLOGY
Practice Location Address:
1811 EDWINA DR
VIDALIA, GA
30474-8963
Practice Phone: 912-537-8988
Practice Fax: 912-608-8037
1649470410 — SOUTHEAST GA PRIMARY PREVENT
Practice Location Address:
1811 EDWINA DR
VIDALIA, GA
30474-8963
Practice Phone: 912-537-9779
Practice Fax: 912-537-2124

Directions to “ ROBERT SCANLON DO” 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 © 2007-2026 (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.