Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 29168 | NC |
NPI | 1023201431 |
---|---|
Provider Name | Dr. Stephen Carlisle Scott |
First Address | Lenoir, NC 28645-3739 |
Second Address | Lenoir, NC 28645-3739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 20/08/2007 |