Individual
GINA V SCARBORO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PAAA
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30045-7694
(770) 963-9905
Mailing address
PO BOX 669, LAWRENCEVILLE, GA 30046-0669
(770) 963-9905
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
003173
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000002723A
—
GA
Enumeration date
06/04/2006
Last updated
07/08/2007
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