Provider Demographics
NPI:1679737894
Name:PATTON, SCOTT ALLAN (REGISTERED NURSE)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:ALLAN
Last Name:PATTON
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 WEST HUDSON BLVD.
Mailing Address - Street 2:GCHD
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-0000
Mailing Address - Country:US
Mailing Address - Phone:704-853-5210
Mailing Address - Fax:
Practice Address - Street 1:991 WEST HUDSON BLVD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-0000
Practice Address - Country:US
Practice Address - Phone:704-853-5210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC222567163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health