MEDICARE: ROBERT SCOTT BAYNE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	303169	NC

General Provider Information

NPI Number	:	1952982563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT SCOTT BAYNE MD

Provider Business Mailing Address
First Line	:	270 COPPERFIELD BLVD NE STE 202
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-2441
Country	:	US
Telephone Number	:	704-721-2060
Fax Number	:	704-403-0470

Provider Business Practice Location Address
First Line	:	4315 PHYSICIANS BLVD STE 101
Second Line	:
City	:	HARRISBURG
State	:	NC
Zip	:	28075-7431
Country	:	US
Telephone Number	:	704-455-6521
Fax Number	:	704-455-3078

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2021
Last Update Date	:	04/16/2021

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