Individual
SCOTT ALAN BOVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 ASHVILLE AVE, CARY, NC 27518-6600
(919) 350-9355
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2008-00006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008-00006
NORTH CAROLINA MEDICAL LICENSE
NC
Enumeration date
10/03/2006
Last updated
10/23/2023
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