# MR. SCOTT PATRICK PERDUE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255443800
- **Gender:** Man
- **Credential:** PA-AA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | 3701 | GA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 06/20/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003109640A | — | GA |
| 05 | — | 003109640B | — | GA |
| 05 | — | 003109640C | — | GA |
| 05 | — | 003109640D | — | GA |
| 05 | — | 1DGAN385 | — | SC |
| 01 | — | 580628385 | TRICARE | GA |
| 01 | — | 592779 | WELLCARE | GA |
| 05 | — | 873397113A | — | GA |
| 01 | — | P00953042 | RAILROAD MEDICARE | GA |