Provider Demographics
NPI:1801951017
Name:SCROGGINS, CARLTON HENRY (MD)
Entity type:Individual
Prefix:DR
First Name:CARLTON
Middle Name:HENRY
Last Name:SCROGGINS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7525 GREENWAY CENTER DR
Mailing Address - Street 2:#312
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3509
Mailing Address - Country:US
Mailing Address - Phone:301-220-0400
Mailing Address - Fax:
Practice Address - Street 1:7525 GREENWAY CENTER DR STE 113
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3525
Practice Address - Country:US
Practice Address - Phone:301-220-0400
Practice Address - Fax:301-220-1719
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2020-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD37041208200000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF06040Medicare UPIN