Dr Scott Lawrence Rupp, MD | |
3280 Mitchell Blvd, Moody Afb, GA 31699-3018 | |
(229) 257-9581 | |
Not Available |
Full Name | Dr Scott Lawrence Rupp |
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Gender | Male |
Speciality | General Practice |
Location | 3280 Mitchell Blvd, Moody Afb, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578125225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 97048 (Georgia) | Secondary |
208D00000X | General Practice | 97048 (Georgia) | Primary |
Entity Name | South Georgia Emergency Medicine Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386903649 PECOS PAC ID: 4880850775 Enrollment ID: O20120720000457 |
Mailing Address | Practice Location Address |
---|---|
Dr Scott Lawrence Rupp, MD 3280 Mitchell Blvd, Moody Afb, GA 31699-1500 Ph: (229) 257-9581 | Dr Scott Lawrence Rupp, MD 3280 Mitchell Blvd, Moody Afb, GA 31699-3018 Ph: (229) 257-9581 |
Christina Marie Welch, MD General Practice Medicare: Medicare Enrolled Practice Location: General Delivery, Moody Afb, GA 31699 Phone: 229-257-2103 | |
Dr. Jeremy Berger, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2103 | |
Logan Ryan Featherston, DO General Practice Medicare: Medicare Enrolled Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778 | |
Dr. Cameron John Elward, MD General Practice Medicare: Medicare Enrolled Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778 |