Provider Demographics
NPI:1376886077
Name:SCOTT, EDWARD PATTON (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:PATTON
Last Name:SCOTT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1256 UNION AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-3411
Mailing Address - Country:US
Mailing Address - Phone:901-252-3444
Mailing Address - Fax:901-252-3446
Practice Address - Street 1:1256 UNION AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3411
Practice Address - Country:US
Practice Address - Phone:901-252-3444
Practice Address - Fax:901-252-3446
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-01
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
TN17693207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AS8707361OtherDEA