Provider Demographics
NPI:1922439827
Name:SCOTT, CHARLOTTE A (CLD)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:A
Last Name:SCOTT
Suffix:
Gender:F
Credentials:CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1343 WILKES CREST CT
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-3055
Mailing Address - Country:US
Mailing Address - Phone:770-596-7527
Mailing Address - Fax:
Practice Address - Street 1:1343 WILKES CREST CT
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-3055
Practice Address - Country:US
Practice Address - Phone:770-596-7527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula