Individual
MATHEW JONATHAN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1638 OWEN DRIVE, FAYETTEVILLE, NC 28304
(910) 615-5095
Mailing address
1638 OWEN DRIVE, FAYETTEVILLE, NC 28304
(910) 615-5095
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2023-00341
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2019
Last updated
04/11/2024
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