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NPI Code Detail

MEDICARE: JUSTIN SCARBROUGH

MEDICARE: JUSTIN SCARBROUGH
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1497687750
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN SCARBROUGH
Provider Business Mailing Address
First Line : 205 CALLIE RIVER CT
Second Line :
City : CLYDE
State : NC
Zip : 28721-0728
Country : US
Telephone Number : 828-246-3112
Fax Number : 828-456-3583
Provider Business Practice Location Address
First Line : 1272 EAST ST
Second Line :
City : WAYNESVILLE
State : NC
Zip : 28786-3437
Country : US
Telephone Number : 828-456-3511
Fax Number : 828-456-3583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ JUSTIN SCARBROUGH ” Practice Location

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