Carlton, Scott A

Carlton, Scott A is an individual health care provider with primary practice located at 5606 Old Canton Rd , Jackson MS 39211-4217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carlton, Scott A can be contacted via phone (601) 957-3333.

Contact Information

Primary practice address
5606 Old Canton Rd Jackson MS 39211-4217
Phone: (601) 957-3333
Fax: (601) 957-3335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12827 Mississippi

Profile Details

NPI number 1972510287
LBN Legal business name Carlton, Scott A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Feb 9th, 2016 - about 9 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 1972510287 NPPES
Mississippi MEDICAID 00120404
Mississippi MEDICAID 1756911
Mississippi Other 1559113
Mississippi Other 080134356

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