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NPI Code Detail

MEDICARE: SCOTT SYLVESTER

MEDICARE: SCOTT SYLVESTER
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
12086S0122XPlastic and Reconstructive Surgery Physician2025-02636NC

General Provider Information

NPI Number : 1356737969
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT SYLVESTER
Provider Business Mailing Address
First Line : MEDICAL CENTER BOULEVARD
Second Line : JANEWAY TOWER 5TH FLOOR- PLASTIC SURGERY
City : WINSTON SALEM
State : NC
Zip : 27157-0001
Country : US
Telephone Number : 336-716-4171
Fax Number : 336-716-9386
Provider Business Practice Location Address
First Line : MEDICAL CENTER BOULEVARD
Second Line : JANEWAY TOWER 5TH FLOOR- PLASTIC SURGERY
City : WINSTON SALEM
State : NC
Zip : 27157-0001
Country : US
Telephone Number : 336-716-4171
Fax Number : 336-716-9386
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2015
Last Update Date : 12/09/2025

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