Individual
BLAKE K SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 S HAWTHORNE RD, SUITE 310, WINSTON SALEM, NC 27103-3921
(336) 448-2427
(336) 765-2869
Mailing address
1830 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4014
(336) 448-2427
(336) 765-2869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013-00510
NC
207RG0100X
Gastroenterology Physician
Primary
2013-00510
NC
Other
Enumeration date
04/07/2009
Last updated
11/27/2023
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