Individual
DR. JAMES GEORGE SCANLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 LAKE BOONE TRL, SUITE 104, RALEIGH, NC 27607-7512
(919) 881-0160
(919) 881-0887
Mailing address
4201 LAKE BOONE TRL STE 104, RALEIGH, NC 27607-7511
(919) 881-0160
(919) 881-0887
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
024289
NC
207RI0011X
Interventional Cardiology Physician
Primary
24289
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060000080
RAILROAD MEDICARE
NC
05
—
8974730
—
NC
Enumeration date
10/04/2005
Last updated
04/14/2021
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