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NPI Code Detail

MEDICARE: DR. WILLIAM M SCOTT III MD

MEDICARE:  DR. WILLIAM M SCOTT III 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
1207QA0401XAddiction Medicine (Family Medicine) Physician8878SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
242D1047821OTHERSCCLIA NUMBER
3830438563OTHERSCFEDERAL ID NUMBER
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942296181
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM M SCOTT III MD
Provider Business Mailing Address
First Line : 206 WALL ST
Second Line :
City : PIEDMONT
State : SC
Zip : 29673-6754
Country : US
Telephone Number : 864-269-7950
Fax Number : 864-269-7948
Provider Business Practice Location Address
First Line : 206 WALL ST
Second Line :
City : PIEDMONT
State : SC
Zip : 29673-6754
Country : US
Telephone Number : 864-269-7950
Fax Number : 864-269-7948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 06/04/2020

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Directions to “ DR. WILLIAM M SCOTT III MD” Practice Location

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