Individual
DR. SCOTT VINCENT CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 NEW BERN AVE, PEDIATRIC EMERGENCY MEDICINE FELLOWSHIP PROGRAM, RALEIGH, NC 27610-1231
(919) 350-7828
Mailing address
9220 BOTHWELL ST, APT 107, RALEIGH, NC 27617-4393
(856) 313-9436
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2010-00935
NC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
2010-00935
NC
Other
Enumeration date
04/22/2008
Last updated
04/11/2013
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