Doctor Name: | NOEL C SCIDMORE |
NPI Number: | 1174636278 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 052630 |
Business Practice Address: | 4750 Battlefield Pkwy Ringgold, GA - 307365164 |
Business Phone Number: | 7068582873 |
Business Fax Number: | |
Mailing Address: | Po Box 3160, CHATTANOOGA |
State: | TN |
Postal Code: | 374040160 |
Phone Number: | 7068582873 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | 052630 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |