Provider Demographics
NPI:1033139126
Name:SCOTT, ANITA DARYL (MD)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:DARYL
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:150 DEBRA RD BLDG 6200
Mailing Address - Street 2:SUITE 5200
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-5616
Mailing Address - Country:US
Mailing Address - Phone:423-893-6500
Mailing Address - Fax:423-893-6552
Practice Address - Street 1:150 DEBRA RD BLDG 6200
Practice Address - Street 2:SUITE 5200
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5616
Practice Address - Country:US
Practice Address - Phone:423-893-6500
Practice Address - Fax:423-893-6552
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA031506207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine