Provider Demographics
NPI:1306860101
Name:PARRY, SCOTT B (DO)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:B
Last Name:PARRY
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2215 CHESHIRE BRIDGE RD NE
Mailing Address - Street 2:UNIT A
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-4234
Mailing Address - Country:US
Mailing Address - Phone:404-541-0944
Mailing Address - Fax:855-364-4949
Practice Address - Street 1:2215 CHESHIRE BRIDGE RD NE
Practice Address - Street 2:UNIT A
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-4234
Practice Address - Country:US
Practice Address - Phone:404-541-0944
Practice Address - Fax:855-364-4949
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2017-10-25
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Provider Licenses
StateLicense IDTaxonomies
GA039899207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAF83434Medicare UPIN