# LAKE HARTWELL FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003015900
- **Authorized official:** DR. WAYNE SCOTT DO (PHYSICIAN/OWNER)
- **Authorized official phone:** (706) 856-6970

## Contact information

- **Practice address:** 162 CADE ST, HARTWELL, GA 30643-1815
- **Practice address phone:** (706) 856-6970
- **Practice address fax:** (706) 856-6972
- **Mailing address:** 162 CADE ST, HARTWELL, GA 30643-1815
- **Mailing address phone:** (706) 856-6970
- **Mailing address fax:** (706) 856-6972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 058820 | GA | Yes |

## Other

- **Enumeration date:** 07/12/2007
- **Last updated:** 09/06/2007