Individual
SCOTT J CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1721 TAUSSIG, NORFOLK, VA 23511
(757) 953-8868
Mailing address
1454 DORY DR, APT 1848, VIRGINIA BEACH, VA 23453-5651
(757) 953-8868
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01049196A
IN
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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