Provider Demographics
NPI:1043473184
Name:CLINE, SCOTT A (RPH)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:A
Last Name:CLINE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5901 SHALLOWFORD RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-6210
Mailing Address - Country:US
Mailing Address - Phone:423-855-8035
Mailing Address - Fax:423-893-3893
Practice Address - Street 1:5901 SHALLOWFORD RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-6210
Practice Address - Country:US
Practice Address - Phone:423-855-8035
Practice Address - Fax:423-893-3893
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8330183500000X
GA16824183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist