Provider Demographics
NPI:1710866272
Name:SCOTT, RASHID
Entity type:Individual
Prefix:
First Name:RASHID
Middle Name:
Last Name:SCOTT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4474 LAZY H RD
Mailing Address - Street 2:
Mailing Address - City:FORT LAWN
Mailing Address - State:SC
Mailing Address - Zip Code:29714-8672
Mailing Address - Country:US
Mailing Address - Phone:803-379-9160
Mailing Address - Fax:
Practice Address - Street 1:4474 LAZY H RD
Practice Address - Street 2:
Practice Address - City:FORT LAWN
Practice Address - State:SC
Practice Address - Zip Code:29714-8672
Practice Address - Country:US
Practice Address - Phone:803-379-9160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver