Individual
MR. SCOTT PATRICK PERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-AA
Contact information
Practice address
5353 REYNOLDS ST, SAVANNAH, GA 31405-6015
(912) 819-6000
Mailing address
5353 REYNOLDS ST, SAVANNAH, GA 31405-6015
(912) 819-6000
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
3701
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003109640A
—
GA
05
—
003109640B
—
GA
05
—
003109640C
—
GA
05
—
003109640D
—
GA
05
—
1DGAN385
—
SC
01
—
580628385
TRICARE
GA
01
—
592779
WELLCARE
GA
05
—
873397113A
—
GA
01
—
P00953042
RAILROAD MEDICARE
GA
Enumeration date
08/31/2006
Last updated
06/20/2023
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