Provider Demographics
NPI:1114975398
Name:TUNIS, SCOTT WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:WILLIAM
Last Name:TUNIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1001 MILITARY CUTOFF RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-4318
Mailing Address - Country:US
Mailing Address - Phone:910-762-4440
Mailing Address - Fax:910-794-9300
Practice Address - Street 1:1001 MILITARY CUTOFF RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-4318
Practice Address - Country:US
Practice Address - Phone:910-762-4440
Practice Address - Fax:910-794-9300
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2011-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9800407207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC11321OtherBCBS PROV #
NC8911321Medicaid
NC11321OtherBCBS PROV #
NC2251260EMedicare PIN
NC8911321Medicaid