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Individual

MR. SCOTT DAVID LONTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
6300 HOSPITAL PKWY, SUITE 400, JOHNS CREEK, GA 30097-1828
(678) 205-4261
(678) 417-7187
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004965
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
479564086A
GA
Enumeration date
01/08/2007
Last updated
06/03/2014
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