Provider Demographics
NPI:1346331485
Name:SCOTT, JAMES INGRAM (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:INGRAM
Last Name:SCOTT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5354 REYNOLDS ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-6007
Mailing Address - Country:US
Mailing Address - Phone:912-355-9437
Mailing Address - Fax:912-355-9671
Practice Address - Street 1:5354 REYNOLDS ST
Practice Address - Street 2:SUITE 202
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6007
Practice Address - Country:US
Practice Address - Phone:912-355-9437
Practice Address - Fax:912-355-9671
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA018267208600000X, 2086S0102X, 2086S0129X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgery
Not Answered2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Not Answered2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Not Answered2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD42193Medicare UPIN