David Allen Scruggs, PA

NPI #1205158383 in Carrollton, Georgia

Provider Information

NPI Number: 1205158383
Entity Type: Individual
Name: David Allen Scruggs, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 17, 2010
Last Updated: Feb 17, 2010

Practice Location

Address: 150 CLINIC AVE
Address 2: SUITE 101
City: Carrollton
State: Georgia
ZIP Code: 30117-4401
Phone: (770) 834-0873

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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