Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 433 | NC |
NPI | 1154303568 |
---|---|
Provider Name | Dr. Scott Lee Basinger |
First Address | Harrisburg, NC 28075-1060 |
Second Address | Charlotte, NC 28277 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2005 |
Last Update Date | 24/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2433613B | MEDICARE ID (01) | NC |
890804J | (05) | NC |
NPD433 | (05) | SC |
U75228 | (02) | NC |