Female

Dr. Jennie B. Scoggins M.D.

Pediatrics Physician in Evans, GA(View on Map)

Full Name

Dr. Jennie Baker Scoggins M.D.

NPI Number

1982727400

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/09/2007

Specialties

(Taxonomies)

Code

208000000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

67792

Contact
Information

Purpose

Mailing
Location

Address

550 PROFESSIONAL DR
411 TOWN PARK BLVD

City

Macon
Evans

State

GA
GA

Postal Code

31201-1411
30809-3487

Country

US
US

Telephone Number

(478) 741-3007
(706) 854-2500

Identifiers

Identifier

003125065O
003125065M

Identifier State

GA
GA

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/30/2024

Provider Address

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