Organization
DPI OF GEORGIA, LLC
Active
Other names
Diversified Professionals Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT PATRICK GARDINER MD (OWNER)
(225) 923-0030
Entity
Organization
Contact information
Practice address
300 COLONIAL CENTER PKWY STE 100N, ROSWELL, GA 30076-4892
(225) 923-0030
(225) 923-0060
Mailing address
8946 INTERLINE AVE STE C, BATON ROUGE, LA 70809-1913
(225) 923-0030
(225) 923-0060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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