Individual
DR. SCOTT LESLE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 YORK ST, YNHH DEPT OF CARDIOLOGY, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
PO BOX 751177, CHARLOTTE, NC 28275-1177
(828) 274-6000
(828) 274-6025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101239745
VA
207RC0000X
Cardiovascular Disease Physician
0101239745
VA
207RC0000X
Cardiovascular Disease Physician
2015-01978
NC
207RI0011X
Interventional Cardiology Physician
0101239745
VA
207RI0011X
Interventional Cardiology Physician
Primary
2015-01978
NC
Other
Enumeration date
01/29/2007
Last updated
01/04/2022
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