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NPI Code Detail

MEDICARE: SCOTT STOLLER NRP

MEDICARE: SCOTT STOLLER NRP
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
1146L00000XParamedicSC002911SC

General Provider Information

NPI Number : 1992387831
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT STOLLER NRP
Provider Business Mailing Address
First Line : 200 UNIVERSITY RDG
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3635
Country : US
Telephone Number : 864-844-3008
Fax Number :
Provider Business Practice Location Address
First Line : 200 UNIVERSITY RDG
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3635
Country : US
Telephone Number : 864-844-3008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2021
Last Update Date : 04/21/2021

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Directions to “ SCOTT STOLLER NRP” Practice Location

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