Individual
STEPHANIE ELIZABETH SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
517 MOYE BLVD, GREENVILLE, NC 27834-2849
(252) 847-4299
(252) 847-8208
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125060904
IL
208600000X
Surgery Physician
Primary
2018-02779
NC
208600000X
Surgery Physician
25MA10176400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20325
BCBS OF NC
NC
01
—
NN7986A
MEDICARE
NC
Enumeration date
05/30/2012
Last updated
01/23/2020
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