Individual
MR. SCOT G FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
5245 ANTLER CT, SUWANEE, GA 30024-4114
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 3021, DULUTH, GA 30096-0052
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
1421
GA
246ZC0007X
Surgical Assistant
SA00070
TX
246ZS0410X
Surgical Technologist
—
—
363AS0400X
Surgical Physician Assistant
1421
GA
Other
Enumeration date
01/30/2006
Last updated
06/21/2022
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