Healthcare Provider Details

I. General information

NPI: 1770795486
Provider Name (Legal Business Name): SCOTT P COMMINS MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 02/24/2021
Certification Date: 02/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EASTOWNE DR
CHAPEL HILL NC
27514-2286
US

IV. Provider business mailing address

208 CALDERON DR
CHAPEL HILL NC
27516-4415
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-2645
  • Fax: 984-974-2660
Mailing address:
  • Phone: 434-882-3338
  • Fax: 984-974-2660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number0101245489
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number0116016518
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number2015-01834
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: