Scott Alvin Denham M.D.

NPI 1184851701 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1184851701
Gender Male
Enumeration Date 06/22/2009
Last Updated 06/10/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
157 CLINIC AVE
SUITE 302
CARROLLTON GA, 30117-4454, US
Phone (770) 838-3336
Fax (770) 832-2331
Business Location
119 AMBULANCE DR
SUITE 202
CARROLLTON GA, 30117-3857, US
Phone (770) 838-8710
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Scott Alvin Denham M.D. NPI is 1184851701, taxonomy code is 390200000X Scott Alvin Denham M.D. physically located at 157 Clinic Ave, Carrollton GA, 30117-4454. NPI Number Scott Alvin Denham M.D. has the Individual type.

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1184851701 NPI number is provided on an as is basis without warranty of any kind. 1184851701 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Alvin Denham M.D. are for informational purposes only.