Groff, George Scott

Groff, George Scott is an individual health care provider with primary practice located at 115 Lee Byrd Rd , Loganville GA 30052-2310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Groff, George Scott can be contacted via phone (770) 554-4717.

Contact Information

Primary practice address
115 Lee Byrd Rd Loganville GA 30052-2310
Phone: (770) 554-4717
Fax: (770) 554-4681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 054722 Georgia

Profile Details

NPI number 1780607242
LBN Legal business name Groff, George Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Oct 13th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780607242 NPPES
Georgia MEDICAID 942445317A

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