Individual
DR. GEORGE KENNETH SCHOLL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-3165
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 512-4808
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18711
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19330
PARTNERS PROV #
NC
01
—
340015947
RAILROAD MCRE PROV #
NC
01
—
74893
BCBC NS INDI PROV#
NC
Enumeration date
06/02/2006
Last updated
10/15/2009
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