Provider Demographics
NPI:1720063837
Name:DUNCAN, SCOTT F V (MD, MPH)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:F
Last Name:DUNCAN
Suffix:V
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 DOUG WHITE DR STE 130
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29572-4120
Mailing Address - Country:US
Mailing Address - Phone:843-848-1440
Mailing Address - Fax:843-839-1654
Practice Address - Street 1:920 DOUG WHITE DR STE 130
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29572-4120
Practice Address - Country:US
Practice Address - Phone:843-848-1440
Practice Address - Fax:843-839-1654
Is Sole Proprietor?:No
Enumeration Date:2005-12-12
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC51225207X00000X
AZ29741207X00000X
LAMD.205008207X00000X
MA261685207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN053610000Medicaid
AZ200042683OtherRAILROAD MEDICARE
LA2168452Medicaid
AZ625303Medicaid
MS02777223Medicaid
LA4Q6797061Medicare PIN
MN053610000Medicaid
AZ625303Medicaid