Individual
MR. SCOTT PHILLIP SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD STE 900, ATLANTA, GA 30342
(404) 847-9999
(404) 531-8466
Mailing address
5671 PEACHTREE DUNWOODY RD STE 900, ATLANTA, GA 30342-5022
(404) 847-9999
(404) 531-8466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008847
GA
363A00000X
Physician Assistant
PA9104370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003123833A
—
GA
05
—
005482700
—
FL
Enumeration date
04/25/2008
Last updated
07/18/2018
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