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Individual
MARK ANDREW SCALES JR.
Active
Individual
MARK ANDREW SCALES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0010-15798
NC
363A00000X
Physician Assistant
Primary
0010-15798
NC
Other
Enumeration date
03/26/2025
Last updated
08/03/2026
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