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Individual

SCOTT A MACMURDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
960 JOE FRANK HARRIS PKWY SE, ANESTHESIA DEPT, CARTERSVILLE, GA 30120-2129
(770) 382-1530
Mailing address
2 SOUTH AVE, CARTERSVILLE, GA 30120-3559
(770) 387-0544
(770) 387-0543

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
046443
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00812941A
GA
Enumeration date
02/28/2007
Last updated
07/08/2007
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