Individual
DR. CHARLENE SPANN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1409 UNIVERSITY DR, SUITE 105, BURLINGTON, NC 27215-8776
(336) 584-5659
(336) 584-4072
Mailing address
PO BOX 405633, ATLANTA, GA 30384-4633
(336) 584-5659
(336) 584-4072
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9700393
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891018H
—
NC
Enumeration date
11/07/2006
Last updated
09/30/2021
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