Individual
MR. GREGORY THOMAS SCANLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
818 CHURCH ST NE, MARIETTA, GA 30060-8969
(770) 792-5284
(770) 792-1513
Mailing address
805 SANDY PLAINS RD, MARIETTA, GA 30066-6340
(770) 792-5284
(770) 792-1513
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
003874
GA
Other
Enumeration date
01/03/2013
Last updated
01/14/2013
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