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Individual

DR. JAMIE REBECCA SCAGLIONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
645 AMALIA ST NE, CONCORD, NC 28025-2434
(704) 295-3255
Mailing address
645 AMALIA ST NE STE 1, CONCORD, NC 28025-2434
(704) 295-3255

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
200800822
NC
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
200800822
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2008-00822
NC MEDICAL BOARD
NC
Enumeration date
03/16/2006
Last updated
09/16/2021
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