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Individual

DR. SCOTT LEONARD JABEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3468
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3468

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
13244
SC
207W00000X
Ophthalmology Physician
Primary
26271
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000292723
UNISON HEALTH PLAN OF SC
SC
01
0841725
UNITED HEALTHCARE
NC
01
10725
BCBS MEDPOINT
NC
01
10974
DOCTORS HEALTH PLAN
NC
01
1641199001
CIGNA
NC
01
175003
COVENTRY
NC
01
17726
PARTNERS
NC
01
180030820
RAILROAD MEDICARE
01
20002138
SELECT HEALTH OF SC
SC
01
24174
KANAWHA
NC
01
26675
WELLPATH
NC
01
376563
MAMSI
NC
01
4066591
AETNA
NC
01
45506
BCBS
NC
01
75511
MEDCOST
NC
01
771081
WELLCARE
SC
05
8945506
NC
05
N26271
SC
Enumeration date
05/10/2006
Last updated
03/31/2021
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