Provider Demographics
NPI:1679582365
Name:SCOTT, DONNA J (MD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:J
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 91328
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-0328
Mailing Address - Country:US
Mailing Address - Phone:770-480-6222
Mailing Address - Fax:866-501-4299
Practice Address - Street 1:115 JUSLYN DR
Practice Address - Street 2:
Practice Address - City:HARVEST
Practice Address - State:AL
Practice Address - Zip Code:35749-9513
Practice Address - Country:US
Practice Address - Phone:770-480-6222
Practice Address - Fax:866-501-4299
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL271752084P0800X
GA334472084P0800X
KY464892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102I262393OtherP PAM