Individual
SCOTT Q HANNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2716 ASHTON DRIVE, WILMINGTON, NC 28412
(910) 332-3800
(910) 251-0421
Mailing address
2716 ASHTON DRIVE, WILMINGTON, NC 28412
(910) 332-3800
(910) 251-0421
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9900241
NC
207X00000X
Orthopaedic Surgery Physician
Primary
9900241
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-1189K
—
NC
Enumeration date
06/26/2007
Last updated
10/03/2012
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