Scott, Derek S

Scott, Derek S is an individual health care provider with primary practice located at 2101 Newnan Crossing Blvd E , Newnan GA 30265. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Scott, Derek S can be contacted via phone (678) 552-6294.

Contact Information

Primary practice address
2101 Newnan Crossing Blvd E Newnan GA 30265
Phone: (678) 552-6294
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301085359 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 4301085359 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 4301085359 Michigan
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 077308 Georgia

Profile Details

NPI number 1740377100
LBN Legal business name Scott, Derek S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jun 10th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740377100 NPPES
Michigan MEDICAID 018888888
Michigan Other 43085359

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