Scott Street Medical Group LLC
NPI #1669085544 in Wilkes Barre, Pennsylvania
Provider Information
- NPI Number
- 1669085544
- Entity Type
- Organization
- Organization Name
- Scott Street Medical Group LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 28, 2020
- Last Updated
- Aug 28, 2020
Practice Location
- Address
- 500 SCOTT ST
- City
- Wilkes Barre
- State
- Pennsylvania
- ZIP Code
- 18702-5616
- Phone
- (570) 824-1700
Authorized Official
- Name
- ELIZABETH WAYMIRE, CPC
- Title
- CREDENTIALING
- Phone
- (570) 693-6163
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
| Internal Medicine |
| Nurse Practitioner - Family — Family |
| Family Medicine |
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