Individual
SCOTT JEFFREY DENARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
522 ALLEN ST STE 101, TROY, NC 27371-2861
(910) 571-5510
Mailing address
522 ALLEN ST, SUITE 101, TROY, NC 27371-2861
(910) 571-5510
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9300079
NC
207RC0000X
Cardiovascular Disease Physician
ME98342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110081947
PALMETTO GBA PROVIDER
NC
01
—
2501601
EVERCARE
NC
05
—
278162000
—
FL
01
—
28341
BCBS NC PROVIDER
NC
01
—
80117
MEDCOST PROVIDER
NC
05
—
8928341
—
NC
01
—
FH2000110
FIRSTCAROLINACARE PROV
NC
01
—
N00079
SC MEDICAID PROVIDER
SC
Enumeration date
06/07/2006
Last updated
07/21/2022
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