Individual
DR. CHARLES SCOTT HULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-7331
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
9401216
NC
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
9401216
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245324243
—
NC
Enumeration date
10/03/2006
Last updated
03/22/2024
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