Individual
DR. ROGER W SCOTT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4075 MARIETTA HWY, 110, DALLAS, GA 30157-3315
(770) 445-9866
(770) 445-8244
Mailing address
4075 MARIETTA HWY, 110, DALLAS, GA 30157-3315
(770) 445-9866
(770) 445-8244
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1253
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000521881A
—
GA
Enumeration date
09/26/2005
Last updated
01/06/2015
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