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Individual

DR. SCOTT G. KLEIMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 30106-8157
(770) 944-1100
(770) 944-6469
Mailing address
2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 30106-8157
(770) 944-1100
(770) 944-6469

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
014383
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000064193B
GA
05
000064193D
GA
05
000064193E
GA
05
000064193F
GA
05
000064193G
GA
05
000064193H
GA
Enumeration date
09/30/2005
Last updated
01/22/2014
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