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Contact Information

ROBERT SCANLON, DO
1811 EDWINA DR
VIDALIA, GA30474-8963
 Phone: 912-538-8105
 Fax: 912-538-8109
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 29 Physician/Pulmonary Disease
 

Critical Care Medicine

207RC0200X 81 Physician/Critical Care (Intensivists)
Indicates primary specialty

NPI Profile & details for ROBERT SCANLON · (Male)

NPI Number 1609874197
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/08/2005
Last updated 08/04/2015 - More than a year ago
Sole proprietor 1 No
Identifiers
GA License # 65886
GA Medicaid 003107027A
Medicare UPIN H32027
Other 3263210 AETNA
Other 9392179 CIGNA
Other 2K3975 HEALTHNET
Other P2754298 OXFORD
Hospital affiliation(s)
  • APPLING HOSPITAL - (Acute Care)
    163 E TOLLISON STREET
    BAXLEY, GA 31513
  • JEFF DAVIS HOSPITAL - (Critical Access)
    163 SOUTH TALLAHASSEE STREET, P O BOX 1690
    HAZLEHURST, GA 31539
  • MEADOWS REGIONAL MEDICAL CENTER - (Acute Care)
    ONE MEADOWS PARKWAY
    VIDALIA, GA 30474
  • MEMORIAL HEALTH UNIV MED CEN INC - (Acute Care)
    4700 WATERS AVENUE
    SAVANNAH, GA 31403
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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