Individual
S SCOTT DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2247
(404) 686-8411
Mailing address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2247
(404) 686-8411
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
056699
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1084001
US HEALTHCARE
GA
01
—
2439375
UNITED HEALTHCARE
GA
05
—
438683444C
—
GA
01
—
931534
BCBS
GA
01
—
P00291073
RAILROAD MEDICARE
GA
01
—
Y 20051001
PHCS
GA
Enumeration date
07/20/2006
Last updated
12/21/2023
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