Provider Demographics
NPI:1912604885
Name:SCOTT, ASIA (CD)
Entity Type:Individual
Prefix:
First Name:ASIA
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 DAPHNE AVE UNIT 145
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-5508
Mailing Address - Country:US
Mailing Address - Phone:769-241-4688
Mailing Address - Fax:
Practice Address - Street 1:2419 SAINT STEPHENS RD APT 202
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36617-3527
Practice Address - Country:US
Practice Address - Phone:769-241-4688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula