Scott, Colette Marie

Scott, Colette Marie is an individual health care provider with primary practice located at 1668 West Peace Street , Canton MS 39046-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Scott, Colette Marie can be contacted via phone (662) 746-0907.

Contact Information

Primary practice address
1668 West Peace Street Canton MS 39046-4500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17998 Mississippi

Profile Details

NPI number 1497802581
LBN Legal business name Scott, Colette Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Oct 28th, 2010 - about 14 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 1497802581 NPPES
Mississippi Other P00634038 RR MEDICARE PTAN
Mississippi MEDICAID 07088805 RR MEDICARE PTAN

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