Provider Information for 1235791237
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Dr. PIA L SCOTT
Sex: Female
NPI: 1235791237
Last Updated: 2019-09-11
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||||||
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NPI | 1235791237 | ||||||||||||||||
Enumeration Date | 2019-07-01 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | PO BOX 5044 DOUGLASVILLE, GA 30154-0001 United States Phone: 678-653-7512 | Fax: | ||||||||||||||||
Primary Practice Address | 8341 GRADY ST DOUGLASVILLE, GA 30134 United States Phone: 843-305-9224 | Fax: | ||||||||||||||||
Secondary Practice Address(es) | 8341 GRADY ST 3000 HIGHWAY 5 APT 807 | ||||||||||||||||
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