Individual
DR. SCOTT M. LATULIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11221 GALLERIA AVE STE 101, RALEIGH, NC 27614-8137
(919) 562-9410
(919) 562-9425
Mailing address
PO BOX 1107, WAKE FOREST, NC 27588-1107
(919) 562-9410
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2023-01494
NC
Other
Enumeration date
04/12/2017
Last updated
04/11/2024
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