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Individual

DR. SCOTT M. SOLOMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1412 REUNION PARK DR, APEX, NC 27539-6875
(919) 362-9378
Mailing address
1412 REUNION PARK DR, APEX, NC 27539-6875

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036097142
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036097142
MEDICAL LICENSE
IL
Enumeration date
03/15/2013
Last updated
07/29/2014
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