Individual
CICELY LASHAY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
208 WINTERBURY DR, CANTON, GA 30114-1235
(404) 910-7870
Mailing address
208 WINTERBURY DR, CANTON, GA 30114-1235
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN168473
GA
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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