Provider Demographics
NPI:1992082499
Name:SCOTT FAMILY HEALTHCARE, P.A.
Entity type:Organization
Organization Name:SCOTT FAMILY HEALTHCARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOPSON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:910-324-7268
Mailing Address - Street 1:310 PETE JONES DR
Mailing Address - Street 2:
Mailing Address - City:RICHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28574-8180
Mailing Address - Country:US
Mailing Address - Phone:910-324-7268
Mailing Address - Fax:
Practice Address - Street 1:310 PETE JONES DR
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28574-8180
Practice Address - Country:US
Practice Address - Phone:910-324-7268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004273261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care