Provider Demographics
NPI:1023315611
Name:SCARLETT, MEAGHAN RAE (RPAC)
Entity type:Individual
Prefix:MS
First Name:MEAGHAN
Middle Name:RAE
Last Name:SCARLETT
Suffix:
Gender:F
Credentials:RPAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 4574
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28406-1574
Mailing Address - Country:US
Mailing Address - Phone:910-251-1839
Mailing Address - Fax:910-795-4826
Practice Address - Street 1:545 OCEAN HWY W
Practice Address - Street 2:
Practice Address - City:SUPPLY
Practice Address - State:NC
Practice Address - Zip Code:28462-4047
Practice Address - Country:US
Practice Address - Phone:910-253-3380
Practice Address - Fax:910-338-3993
Is Sole Proprietor?:No
Enumeration Date:2011-02-17
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-05399363A00000X
NY014396363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant