Scott, Marty B

Scott, Marty B is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Scott, Marty B can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 052235 Georgia
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 32427 North Carolina

Profile Details

NPI number 1346277993
LBN Legal business name Scott, Marty B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Nov 5th, 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 1346277993 NPPES
Georgia Other 349826 WELLCARE
Georgia MEDICAID 063665382A WELLCARE
Georgia MEDICAID N32427 WELLCARE
Georgia Other 10065388 WELLCARE

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