Provider Demographics
NPI:1700846763
Name:BRENNAN, SCOTT CURTIS (PA)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:CURTIS
Last Name:BRENNAN
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:2238 HILL PARK CT
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-2716
Mailing Address - Country:US
Mailing Address - Phone:404-417-1773
Mailing Address - Fax:404-417-1770
Practice Address - Street 1:582 CONCORD RD
Practice Address - Street 2:COBB VA CBOC
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082-2616
Practice Address - Country:US
Practice Address - Phone:404-417-1773
Practice Address - Fax:404-417-1770
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA000709363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant