Provider Demographics
NPI:1528489796
Name:SCOTT, CHRISTINE BURROUGHS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:BURROUGHS
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 DOUBLE CHURCHES RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-2748
Mailing Address - Country:US
Mailing Address - Phone:706-321-1081
Mailing Address - Fax:706-321-1723
Practice Address - Street 1:2801 DOUBLE CHURCHES RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-2748
Practice Address - Country:US
Practice Address - Phone:706-321-1081
Practice Address - Fax:706-321-1723
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA027216183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist