Individual
MS. SUSAN PERKINS SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
274 WHITTLE CIR, ASHBURN, GA 31714-1918
(229) 567-4316
(229) 567-9271
Mailing address
274 WHITTLE CIR, ASHBURN, GA 31714-1918
(229) 567-4316
(229) 567-9271
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4923
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4923
STATE OF GEORGIA
GA
Enumeration date
11/04/2010
Last updated
11/04/2010
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