Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 27851 | AL |
Y | 2080P0205X | Pediatric Endocrinologist | 27851 | AL |
NPI | 1437366192 |
---|---|
Provider Name | Mary Lauren Scott |
First Address | Birmingham, AL 35233-1711 |
Second Address | Birmingham, AL 35233-1711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 19/10/2020 |