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Individual

DR. SCOTT ALVIN DENHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
157 CLINIC AVE, SUITE 302, CARROLLTON, GA 30117-4454
(770) 838-3336
(770) 832-2331
Mailing address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(770) 838-8710

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
54947
TN
208600000X
Surgery Physician
074155
GA

Other

Enumeration date
06/22/2009
Last updated
03/01/2019
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