| Organization Name: | DR WILLIAM M SCOTT, MDVIP PA |
| NPI Number: | 1184858136 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LETHERENDA G RIVERS (CLINICAL MANAGER) |
| Mailing Address: | 206 Wall St Piedmont |
| State: | SC US |
| Postal Code: | 296736754 |
| Phone Number: | 8642951293 |
| Fax Number: | 8642951294 |
| NPI Enumeration Date: | 05/06/2009 |
| NPI Last Update Date: | 05/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 8878 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |