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Organization

CHARLES F SCOTT MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES FREDERICK SCOTT MD (MEDICAL DOCTOR)
(770) 431-8511
Entity
Organization

Contact information

Practice address
2812 SPRING RD SE, SUITE 200, ATLANTA, GA 30339-3037
(770) 431-8511
(770) 431-8411
Mailing address
4279 ROSWELL RD, SUITE 254, ATLANTA, GA 30342-3769
(770) 431-8511
(770) 431-8411

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02884
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000350952B
GA
Enumeration date
11/29/2010
Last updated
11/29/2010
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