Provider Demographics
NPI:1447639471
Name:SCOGGINS, AARON (PA)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:SCOGGINS
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2090 COLUMBIANA RD STE 4000
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2158
Mailing Address - Country:US
Mailing Address - Phone:800-834-2420
Mailing Address - Fax:205-536-8401
Practice Address - Street 1:2090 COLUMBIANA RD STE 4000
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-2158
Practice Address - Country:US
Practice Address - Phone:800-834-2420
Practice Address - Fax:205-536-8401
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA2926363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical