Basic Information
| Provider Information | |||||||||
| NPI: | 1033366885 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SCOTLAND ORTHOPEDICS, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 189 | ||||||||
| Address2: | |||||||||
| City: | LAURINBURG | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283530189 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9102764611 | ||||||||
| FaxNumber: | 9102774244 | ||||||||
| Practice Location | |||||||||
| Address1: | 410 D SOUTH JONES STREET | ||||||||
| Address2: | |||||||||
| City: | PEMBROKE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28372 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9102764611 | ||||||||
| FaxNumber: | 9102774244 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2008 | ||||||||
| LastUpdateDate: | 07/23/2009 | ||||||||
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| AuthorizedOfficialLastName: | BYRD | ||||||||
| AuthorizedOfficialFirstName: | SHERRYL | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | PRACTICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9102764611 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XX0005X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine |
No ID Information.