Individual
MR. SCOTT A CARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 MEDICAL PARK, SUITE 401, WHEELING, WV 26003-6392
(304) 243-3880
(304) 243-3895
Mailing address
40 MEDICAL PARK, SUITE 401, WHEELING, WV 26003-6392
(304) 243-3880
(304) 243-3895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23792
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T79956
—
SC
Enumeration date
11/04/2005
Last updated
11/19/2009
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