Scott, Carl Alan
Scott, Carl Alan is an individual health care provider with primary practice located at 4451 Country Club Rd Ste 3A , Statesboro GA 30458-9238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Scott, Carl Alan can be contacted via phone (912) 764-2273.Contact Information
Primary practice address
4451 Country Club Rd Ste 3A
Statesboro GA 30458-9238
Phone: (912) 764-2273
Fax: (912) 489-4762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 054052 | Georgia |
Profile Details
| NPI number | 1275578239 |
|---|---|
| LBN Legal business name | Scott, Carl Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Nov 4th, 2025 - about last year |
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 | 1275578239 | NPPES |
| South Carolina | MEDICAID | G54052 | |
| South Carolina | MEDICAID | 218728918 | |
| South Carolina | MEDICAID | 218728918A | |
| South Carolina | Other | 10058885 |
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