Organization
WOODLAWN MEDICAL GROUP OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WARREN SCRUGGS (CEO)
(770) 303-4499
Entity
Organization
Contact information
Practice address
3535 ROSWELL RD, SUITE 20, MARIETTA, GA 30062-8826
(770) 303-4499
(770) 303-9901
Mailing address
3535 ROSWELL RD, SUITE 20, MARIETTA, GA 30062-8826
(770) 303-4499
(770) 303-9901
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
07689701W
AZ
Other
Enumeration date
04/25/2007
Last updated
11/01/2007
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