Individual
MR. KENDALL SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(404) 616-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN299525
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
NCO-000003
GA
Other
Enumeration date
01/24/2024
Last updated
07/25/2024
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