Individual
DAVID ALLEN SCRUGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
150 CLINIC AVE, SUITE 101, CARROLLTON, GA 30117-4401
(770) 834-0873
Mailing address
150 CLINIC AVE, SUITE 101, CARROLLTON, GA 30117-4401
(770) 834-0873
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2760
GA
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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