Provider Demographics
NPI:1992150940
Name:SCALF, MARY CATHERINE (PA-C)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:CATHERINE
Last Name:SCALF
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:242 INDIAN LAKE BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-6213
Mailing Address - Country:US
Mailing Address - Phone:615-822-5660
Mailing Address - Fax:615-822-5611
Practice Address - Street 1:242 INDIAN LAKE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-6213
Practice Address - Country:US
Practice Address - Phone:615-822-5660
Practice Address - Fax:615-822-5611
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNPA0000002914363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant