Scoggins, Jennie Baker
Scoggins, Jennie Baker is an individual health care provider with primary practice located at 411 Town Park Blvd , Evans GA 30809-3487. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Scoggins, Jennie Baker can be contacted via phone (706) 854-2500.Contact Information
Primary practice address
411 Town Park Blvd
Evans GA 30809-3487
Phone: (706) 854-2500
Fax: (706) 854-2559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 67792 | Georgia |
Profile Details
| NPI number | 1982727400 |
|---|---|
| LBN Legal business name | Scoggins, Jennie Baker |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Jan 30th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982727400 | NPPES |
| Georgia | MEDICAID | 003125065O | |
| Georgia | MEDICAID | 003125065M |
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