Basic Information
| Provider Information | |||||||||
| NPI: | 1184819161 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCOTT | ||||||||
| FirstName: | NATALIE | ||||||||
| MiddleName: | RENEE DUNCAN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | SCOTT | ||||||||
| OtherFirstName: | NATALIE | ||||||||
| OtherMiddleName: | RENEE | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1410 TUSCULUM BLVD | ||||||||
| Address2: | SUITE 1700 | ||||||||
| City: | GREENEVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 377455818 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4237877100 | ||||||||
| FaxNumber: | 4237877109 | ||||||||
| Practice Location | |||||||||
| Address1: | 1410 TUSCULUM BLVD | ||||||||
| Address2: | SUITE 1700 | ||||||||
| City: | GREENEVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 377455818 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4237877100 | ||||||||
| FaxNumber: | 4237877109 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/12/2007 | ||||||||
| LastUpdateDate: | 02/23/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD0000042973 | TN | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | P01064650 | 01 | TN | RAILROAD MEDICARE | OTHER | 1507858 | 05 | TN | MEDICAID |