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Scott Ireland Otallah
Neurology Physician in Winston Salem, North Carolina
NPI 1427287994

Scott Ireland Otallah is a Neurology Physician based in Winston-Salem, NC and is specialized in Neurology. Scott Ireland Otallah practices in Winston Salem, NC. The NPI Number for Scott Ireland Otallah is 1427287994 and holds a License No. 0101-255657 (North Carolina).

The current practice location address for Scott Ireland Otallah is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2255.

Location: Medical Center Blvd, Winston Salem, NC, 27157-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427287994
Provider Name
Scott Ireland Otallah
Credential
Provider Entity Type
Individual
Gender
Male
Address
Medical Center Blvd, Winston Salem, NC, 27157-0001
Phone Number
336-716-2255
Fax Number
Provider Enumeration Date
07/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VVE342A 01 VA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-2256
Phone Number
336-716-2255
Fax Number
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-2256
Phone Number
336-716-2255
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
2009017502 (Missouri)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
0101-255657 (Virginia)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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