Provider Demographics
NPI:1063455871
Name:SCOTT, JAMES U (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:U
Last Name:SCOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1020 TERRACE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-4392
Mailing Address - Country:US
Mailing Address - Phone:276-783-8183
Mailing Address - Fax:276-782-9267
Practice Address - Street 1:1020 TERRACE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-4392
Practice Address - Country:US
Practice Address - Phone:276-783-8183
Practice Address - Fax:276-782-9267
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA055324174400000X
VA0101051683208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA660889516AMedicaid
GA660889516BMedicaid
VA1063455871Medicaid
VA1063455871Medicaid
GA660889516AMedicaid