Scruggs, Jannet R

Scruggs, Jannet R is an individual health care provider with primary practice located at 750 Townpark Lane Kaiser Permanente Townpark Medical Office, Kennesaw GA 30144. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Scruggs, Jannet R can be contacted via phone (770) 514-5401.

Contact Information

Primary practice address
750 Townpark Lane Kaiser Permanente Townpark Medical Office Kennesaw GA 30144
Phone: (770) 514-5401
Fax: (478) 454-3969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 049433 Georgia

Profile Details

NPI number 1609962356
LBN Legal business name Scruggs, Jannet R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 22nd, 2022 - about 4 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 1609962356 NPPES
Georgia MEDICAID 000890623C

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