Provider Demographics
NPI:1235272394
Name:SCOT, CAROL L (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:L
Last Name:SCOT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1210 W SAGINAW ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48915-1927
Mailing Address - Country:US
Mailing Address - Phone:517-364-7200
Mailing Address - Fax:517-364-7201
Practice Address - Street 1:1210 W SAGINAW ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48915-1927
Practice Address - Country:US
Practice Address - Phone:517-364-7200
Practice Address - Fax:517-364-7201
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301046186207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2000OtherCERTIFICATION IN HOSPICE
MI1983OtherMI MEDICAL LICENSE
MI1987OtherAMERICAN BOARD OF INTERNA
MI1987OtherAMERICAN BOARD OF INTERNA