Individual
DR. SCOTT LEE BASINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
12610 N COMMUNITY HOUSE RD, SUITE 202, CHARLOTTE, NC 28277
(704) 541-3668
(704) 541-3622
Mailing address
PO BOX 1060, 6602 ROBERTA ROAD, HARRISBURG, NC 28075-1060
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
433
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2433613B
MEDICARE ID
NC
05
—
890804J
—
NC
05
—
NPD433
—
SC
Enumeration date
11/19/2005
Last updated
02/24/2015
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