Individual
DR. SCOTT D. BODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
59 EXECUTIVE PARK SOUTH NE, SUITE 3000, ATLANTA, GA 30329-2208
(404) 778-7143
(404) 778-7117
Mailing address
59 EXECUTIVE PARK SOUTH NE, SUITE 3000, ATLANTA, GA 30329-2208
(404) 778-7143
(404) 778-7117
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
035566
GA
Other
Enumeration date
08/20/2006
Last updated
07/09/2007
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