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1972510287

NPI Code Detail

MEDICARE: SCOTT A CARLTON MD

MEDICARE: SCOTT A CARLTON 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
1	207Q00000X	Family Medicine Physician	12827	MS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	080134356	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1559113	OTHER	MS	AMERICAN ADMIN GROUP

General Provider Information

NPI Number	:	1972510287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT A CARLTON MD

Provider Business Mailing Address
First Line	:	308 CORPORATE DR
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-8803
Country	:	US
Telephone Number	:	601-898-7500
Fax Number	:	601-898-7577

Provider Business Practice Location Address
First Line	:	5606 OLD CANTON RD
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39211-4217
Country	:	US
Telephone Number	:	601-957-3333
Fax Number	:	601-957-3335

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	02/09/2016

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Directions to “ SCOTT A CARLTON MD” 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.

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