Scruggs, Edward T

Scruggs, Edward T is an individual health care provider with primary practice located at 1640 Airport Rd Nw Ste 110, Kennesaw GA 30144-7038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Scruggs, Edward T can be contacted via phone (678) 202-2074.

Contact Information

Primary practice address
1640 Airport Rd Nw Ste 110 Kennesaw GA 30144-7038
Phone: (678) 202-2074
Fax: (770) 590-1442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 033192 Georgia

Profile Details

NPI number 1538192109
LBN Legal business name Scruggs, Edward T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1538192109 NPPES
Georgia MEDICAID 00427358

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