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George C Scott Md
Medical Specialty Clinic/Center in Manteca, California
NPI 1396061776

George C Scott Md is a Medical Specialty Clinic/Center based in Manteca, CA and is specialized in Medical Specialty. George C Scott Md practices in Manteca, CA. The NPI Number for George C Scott Md is 1396061776 and holds a License No. G55402 (California).

The current practice location address for George C Scott Md is 1191 E Yosemite Ave, Manteca, CA and can be reached out via phone at 209-239-4100 and via fax at 209-239-4110.

Location: 1191 E Yosemite Ave, Manteca, CA, 95336-5011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396061776
Provider Name
George C Scott Md
Credential
Provider Entity Type
Organization
Address
1191 E Yosemite Ave, Manteca, CA, 95336-5011
Phone Number
209-239-4100
Fax Number
209-239-4110
Provider Enumeration Date
04/11/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2176339 05 CA
00G554020 05 CA
institution
Provider Business Practice Location Address Details
Address
1191 E Yosemite Ave
City
Manteca
State
California
Zip
95336-5011
Phone Number
209-239-4100
Fax Number
209-239-4110
person
Provider Business Mailing Address Details
Address
1191 E Yosemite Ave
City
Manteca
State
California
Zip
95336-5011
Phone Number
209-239-4100
Fax Number
209-239-4110
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
G55402 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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