Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 201800622 | NC |
N | 2084N0400X | Neurologist | 25690 | OK |
N | 2084V0102X | Vascular Neurology | 201800622 | NC |
NPI | 1043416357 |
---|---|
Provider Name | Scott Saucedo |
First Address | Charlotte, NC 28275-1803 |
Second Address | Winston Salem, NC 27103-3013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2007 |
Last Update Date | 01/06/2021 |