Scott O Caudle in Elizabethton - Surgery

Scott O Caudle - NPI 1770570772

Scott O Caudle is a Surgery in Elizabethton, Tennessee. Scott O Caudle practices all healthcare services and medical treatments related to Surgery. The NPI Number for Scott O Caudle is 1770570772. The last update date is 2010-11-09.

Scott O Caudle's current location address is 1503 W Elk Ave, Elizabethton, Tennessee. You can contact this provider via phone number 4235438619 and fax number 4235435133. The mailing address for Scott O Caudle is 1503 W Elk Ave, Elizabethton, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Scott O Caudle
Address 1503 W Elk Ave, Elizabethton, Tennessee
Phone Number 4235438619
Fax Number 4235435133
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1770570772
Provider Enumeration Date 2005-10-04
Last Updated Date 2010-11-09

Provider Mailing Address Detail

Address 1503 W Elk Ave
City Elizabethton
State Tennessee (TN)
Post Code 376432876
Phone Number 4235438619
Fax Number 4235435133

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No MA13233
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3380824 TN --
39248 TN BLUE CROSS BLUE SHIELD

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FAQs about Scott O Caudle

What is the unique 10-digit identifier code issued to Scott O Caudle by the Centers for Medicare & Medicaid Services?

The Scott O Caudle has been assigned the NPI (National Provider Identifier) 1770570772 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Scott O Caudle located?

The Scott O Caudle is located at 1503 W Elk Ave, Elizabethton, TN 376432876.

What is the area of specialization for Scott O Caudle, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Scott O Caudle is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1770570772 to Scott O Caudle?

The Centers for Medicare & Medicaid Services assigned the 1770570772 to Scott O Caudle on 2005-10-04.

When was the information related to Scott O Caudle most recently updated or refreshed?

The details pertaining to the Scott O Caudle, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-11-09.

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