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NPI Code Detail

MEDICARE: ERIN SCOTT

MEDICARE: ERIN SCOTT
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1407686652
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN SCOTT
Provider Business Mailing Address
First Line : 2708 MERIDIAN DR APT 2
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5508
Country : US
Telephone Number : 336-423-6289
Fax Number :
Provider Business Practice Location Address
First Line : 1121 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1007
Country : US
Telephone Number : 336-832-8040
Fax Number : 336-832-3568
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2024
Last Update Date : 01/16/2025

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