Provider Demographics
NPI:1568555795
Name:SCOTT, DUNCAN R CAMPBELL (MD)
Entity Type:Individual
Prefix:
First Name:DUNCAN
Middle Name:R CAMPBELL
Last Name:SCOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4005 HENDERSONVILLE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-8240
Mailing Address - Country:US
Mailing Address - Phone:828-667-9155
Mailing Address - Fax:828-667-9245
Practice Address - Street 1:4005 HENDERSONVILLE RD STE 2
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-8240
Practice Address - Country:US
Practice Address - Phone:828-667-9155
Practice Address - Fax:828-667-9245
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9801052208VP0014X, 207L00000X, 207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC9801052OtherLICENSE NUMBER
NCBS4133550OtherDEA NUMBER
NC9801052OtherLICENSE NUMBER
NC891153EMedicaid
NCG78453Medicare UPIN