Provider Demographics
NPI:1184949679
Name:BARRINGER, SCOTT MATTHEW (LAT, ATC)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:MATTHEW
Last Name:BARRINGER
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3780 BOSTIC DR
Mailing Address - Street 2:APT. 306 B
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-9483
Mailing Address - Country:US
Mailing Address - Phone:215-768-8414
Mailing Address - Fax:
Practice Address - Street 1:116 WARD SPORTS MEDICINE BUILDING
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-9483
Practice Address - Country:US
Practice Address - Phone:215-768-8414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16552255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer