Individual
SCOTT ANTHONY SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP
Contact information
Practice address
88 HARDY ST, CHATSWORTH, GA 30705-3231
(706) 463-1024
Mailing address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6490
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN215026
GA
Other
Enumeration date
07/23/2014
Last updated
03/23/2021
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