Individual
DR. SCOTT M ACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6240 SHILOH RD STE B, ALPHARETTA, GA 30005-8347
(678) 208-2165
Mailing address
6240 SHILOH RD, ALPHARETTA, GA 30005-8347
(678) 208-2165
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
24371
AL
207ZP0101X
Anatomic Pathology Physician
24371
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003118339A
—
GA
05
—
102409289-0001
—
PA
05
—
193679419A
—
AL
05
—
4421906 00
—
MD
Enumeration date
01/11/2006
Last updated
01/05/2018
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