Provider Demographics
NPI:1780865717
Name:SCOTT, MICHELE LEA (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:LEA
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:802 MCCARTHY BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-5236
Mailing Address - Country:US
Mailing Address - Phone:252-633-4183
Mailing Address - Fax:252-636-1674
Practice Address - Street 1:802 MCCARTHY BLVD
Practice Address - Street 2:COASTAL EYE CLINIC
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562
Practice Address - Country:US
Practice Address - Phone:252-633-4163
Practice Address - Fax:252-636-1674
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-00525207W00000X, 207WX0009X
TN722227207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist