Healthcare Provider Details

I. General information

NPI: 1710003827
Provider Name (Legal Business Name): TRIANGLE CARDIOLOGY & INTERNAL MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 03/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 CHEROKEE TRL
FLETCHER NC
28732-9436
US

IV. Provider business mailing address

P.O.BOX2205 SUITE 109
SKYLAND NC
28776-1855
US

V. Phone/Fax

Practice location:
  • Phone: 828-684-1444
  • Fax: 828-864-1444
Mailing address:
  • Phone: 828-684-1444
  • Fax: 828-864-1444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number17431
License Number StateNC

VIII. Authorized Official

Name: DR. JAMES A SCOVIL
Title or Position: OWNER
Credential: M.D.
Phone: 919-212-1959