Individual
NICOLE RENE SCANLON-ROWLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2323 MEMORIAL AVE STE 10, LYNCHBURG, VA 24501-2652
(434) 200-5200
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101239248
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010265509
—
VA
Enumeration date
05/04/2006
Last updated
07/20/2023
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