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Individual

DR. SCOTT LAWRENCE RUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3280 MITCHELL BLVD, MOODY AFB, GA 31699-3018
(229) 257-9581
Mailing address
3280 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-9581

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
97048
GA
208D00000X
General Practice Physician
Primary
97048
GA

Other

Enumeration date
07/02/2019
Last updated
06/11/2025
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