Scott J Carlson, M.D.
General Practice in Norfolk, VA. Individual provider (NPI-1).
NPI number1700959632
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1700959632
- Entity type
- Individual (NPI-1)
- Name
- Scott J Carlson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 01049196A | IN | Yes |
Practice location
1721 TaussigNorfolk, VA 23511
Phone 757-953-8868
Mailing address
1454 Dory DrApt 1848
Virginia Beach, VA 23453-5651
Phone 757-953-8868
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