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NPI Code Detail

MEDICARE: YOLANDA SCOTT MD

MEDICARE: YOLANDA SCOTT MD
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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician72795GA

General Provider Information

NPI Number : 1831480045
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLANDA SCOTT MD
Provider Business Mailing Address
First Line : 900 CIRCLE 75 PKWY SE STE 1700
Second Line :
City : ATLANTA
State : GA
Zip : 30339-3087
Country : US
Telephone Number : 678-996-7237
Fax Number : 770-818-0352
Provider Business Practice Location Address
First Line : 6002 PROFESSIONAL PKWY STE 140
Second Line :
City : DOUGLASVILLE
State : GA
Zip : 30134-5603
Country : US
Telephone Number : 770-949-8558
Fax Number : 770-949-6966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2011
Last Update Date : 12/20/2017

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