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Individual

JANNET R SCRUGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
750 TOWNPARK LANE, KAISER PERMANENTE TOWNPARK MEDICAL OFFICE, KENNESAW, GA 30144
(770) 514-5401
(478) 454-3969
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
(678) 475-0980

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
049433
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000890623C
GA
Enumeration date
10/04/2006
Last updated
03/22/2022
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