| Mary E Scott M.d Inc. | |
|
4488 W Broad St Columbus OH 43228-5610 | |
| (614) 878-0470 | |
| (614) 878-1439 |
| Full Name | Mary E Scott M.d Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4488 W Broad St, Columbus, Ohio |
| Authorized Official Name and Position | Mary E Scott (OWNER) |
| Authorized Official Contact | 6148780470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E Scott M.d Inc. 4488 W Broad St Columbus OH 43228-5610 Ph: (614) 878-0470 | Mary E Scott M.d Inc. 4488 W Broad St Columbus OH 43228-5610 Ph: (614) 878-0470 |
| NPI Number | 1215154471 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 09/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215154471 | NPI | - | NPPES |
| 2211270 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35075360S (Ohio) | Primary |
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