Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD.33975 | AL |
N | 2080P0210X | Pediatric Nephrologist | 267412 | MA |
NPI | 1528404597 |
---|---|
Provider Name | Adam Wesley Scott |
First Address | Montgomery, AL 36106-1158 |
Second Address | Montgomery, AL 36106-2866 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2013 |
Last Update Date | 07/04/2020 |