Individual
SCOTT ASHLEY FOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1176 BRAMPTON AVE, STATESBORO, GA 30458-0847
(912) 259-9474
(122) 255-7199
Mailing address
575 1ST ST, MACON, GA 31201-2825
(478) 743-9762
(478) 746-6612
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3334
GA
Other
Enumeration date
02/04/2006
Last updated
12/21/2020
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