Provider Demographics
NPI:1558320093
Name:NORRIS, SCOTT BARCLAY (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:BARCLAY
Last Name:NORRIS
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 PINTAIL LN
Mailing Address - Street 2:
Mailing Address - City:SIGNAL MOUNTAIN
Mailing Address - State:TN
Mailing Address - Zip Code:37377-1439
Mailing Address - Country:US
Mailing Address - Phone:210-823-2895
Mailing Address - Fax:
Practice Address - Street 1:1 FOUNTAIN SQ
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-1306
Practice Address - Country:US
Practice Address - Phone:423-294-8280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN22021207Q00000X, 2083A0100X, 2083X0100X
PAMD060878L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine