Siegel, Scott Phillip
Siegel, Scott Phillip is an individual health care provider with primary practice located at 5671 Peachtree Dunwoody Rd Ste 900 , Atlanta GA 30342. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Siegel, Scott Phillip can be contacted via phone (404) 847-9999.Contact Information
Primary practice address
5671 Peachtree Dunwoody Rd Ste 900
Atlanta GA 30342
Phone: (404) 847-9999
Fax: (404) 531-8466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9104370 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 008847 | Georgia |
Profile Details
| NPI number | 1790950269 |
|---|---|
| LBN Legal business name | Siegel, Scott Phillip |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Jul 18th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790950269 | NPPES |
| Georgia | MEDICAID | 003123833A | |
| Georgia | MEDICAID | 005482700 |
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