Individual
SCOTT RODGERS DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 CLOVERLEAF DR, CARTERSVILLE, GA 30120-2178
(770) 386-1261
(770) 382-9343
Mailing address
PO BOX 200128, CARTERSVILLE, GA 30120-9003
(770) 386-1261
(770) 382-9343
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33007
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750154
UNITED HEALTHCARE
GA
01
—
22699
BLUE CROSS BLUE SHIELD
GA
Enumeration date
10/18/2006
Last updated
08/28/2012
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