Provider Demographics
NPI:1750506978
Name:MCINTURFF, SCOTT CLIFFORD (PT, DPT, ATC)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:CLIFFORD
Last Name:MCINTURFF
Suffix:
Gender:M
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1955 LAKESHORE OVERLOOK CIR NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-6711
Mailing Address - Country:US
Mailing Address - Phone:770-597-6590
Mailing Address - Fax:
Practice Address - Street 1:2220 WISTERIA DR
Practice Address - Street 2:SUITE 204
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-2656
Practice Address - Country:US
Practice Address - Phone:404-785-8081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT007579225100000X
GAAT0013192255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer