Provider Demographics
NPI:1851340996
Name:FRANCIS-SCOTT, ERICA Y (MD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:Y
Last Name:FRANCIS-SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ERICA
Other - Middle Name:YVETTE
Other - Last Name:FRANCIS-SCOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 870527
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-0014
Mailing Address - Country:US
Mailing Address - Phone:770-939-7477
Mailing Address - Fax:770-939-7750
Practice Address - Street 1:2171 NORTHLAKE PKWY
Practice Address - Street 2:SUITE 114
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-4104
Practice Address - Country:US
Practice Address - Phone:770-939-7477
Practice Address - Fax:770-939-7750
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA041796208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000713347AAMedicaid