Individual
SCOTT JEREMIAH HARGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
175 REV HENDERSON RD, HENDERSON, NC 27537-6936
(757) 513-0824
Mailing address
175 REV HENDERSON RD, HENDERSON, NC 27537-6936
(757) 513-0824
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
09/17/2009
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