Provider Demographics
NPI:1336102243
Name:SCOTLAND MEDICAL CENTER P.A.
Entity type:Organization
Organization Name:SCOTLAND MEDICAL CENTER P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUSHARRAF
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVAID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-276-2100
Mailing Address - Street 1:422 KING ST
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352
Mailing Address - Country:US
Mailing Address - Phone:910-276-2100
Mailing Address - Fax:910-276-2111
Practice Address - Street 1:422 KING ST
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352
Practice Address - Country:US
Practice Address - Phone:910-276-2100
Practice Address - Fax:910-276-2111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9801417207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty