Elliott, Jeffrey Scott

Elliott, Jeffrey Scott is an individual health care provider with primary practice located at 881 Uss Mariano G Vallejo Ave , Kings Bay GA 31547. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Elliott, Jeffrey Scott can be contacted via phone (912) 573-6472.

Contact Information

Primary practice address
881 Uss Mariano G Vallejo Ave Kings Bay GA 31547
Phone: (912) 573-6472
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101273195 Virginia

Profile Details

NPI number 1740810001
LBN Legal business name Elliott, Jeffrey Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2020
Last updated Mar 8th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740810001 NPPES
Virginia MEDICAID 0101273195

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