Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT MIKELL
ActiveSCOTT MIKELL is a Geriatric Medicine healthcare provider located in STATESBORO, Georgia. NPI 1386056422 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · STATESBORO, GA
Registration Details
- NPI Number
- 1386056422
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2014 (12.216449216876 yrs)
- Last Updated
- Jan 11, 2023
- Licenses
-
2017-01778 (NC)1031577657 (GA)
Practice Information
- Address
-
658 NORTHSIDE DR E STE ASTATESBORO, GA, 304584828Browse GA providers · Browse ZIP 30458
- Phone
- 9127649684
- Primary Specialty
-
Geriatric Medicine
207QG0300X
- Additional Specialty
- Geriatric Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.