| Doctor Name: | MR. DONALD SCOGGIN |
| NPI Number: | 1316980097 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | R732117 |
| Business Practice Address: | 1203 Ave B Ellisville, MS - 39437 |
| Business Phone Number: | 6014778553 |
| Business Fax Number: | 6014779158 |
| Mailing Address: | Po Box 247, LAUREL |
| State: | MS |
| Postal Code: | 394410247 |
| Phone Number: | 6013996167 |
| Fax Number: | 6013996281 |
| NPI Enumeration Date: | 06/13/2006 |
| NPI Last Update Date: | 04/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R732117 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |