Provider Demographics
NPI:1346286697
Name:KORN, SCOTT LEWIS (DO)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:LEWIS
Last Name:KORN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:DEPT OF EM
Mailing Address - Street 2:MEDICAL CENTER BOULEVARD
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-1089
Mailing Address - Country:US
Mailing Address - Phone:336-716-1896
Mailing Address - Fax:336-716-5438
Practice Address - Street 1:1370 WEST D STREET
Practice Address - Street 2:WILKES REGIONAL MEDICAL CENTER ED
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659
Practice Address - Country:US
Practice Address - Phone:336-651-8102
Practice Address - Fax:336-651-8190
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2022-01-16
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Provider Licenses
StateLicense IDTaxonomies
SC2600330207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine