Basic Information
Provider Information
NPI: 1447209861
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ELTON
FirstName: SCOTT
MiddleName: W.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: UNIVERSITY OF NORTH CAROLINA NEUROSURGERY
Address2: 170 MANNING DR. CB 7060
City: CHAPEL HILL
State: NC
PostalCode: 275997060
CountryCode: US
TelephoneNumber: 9199661374
FaxNumber: 9198436520
Practice Location
Address1: 1301 CENTRAL DR
Address2:  
City: SANFORD
State: NC
PostalCode: 273304159
CountryCode: US
TelephoneNumber: 9197189512
FaxNumber: 9197189516
Other Information
ProviderEnumerationDate: 05/10/2006
LastUpdateDate: 05/07/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000X186373NCY Allopathic & Osteopathic PhysiciansNeurological Surgery 

No ID Information.


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