Lontz, Scott David
Lontz, Scott David is an individual health care provider with primary practice located at 6300 Hospital Pkwy Suite 400, Johns Creek GA 30097-1828. 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. Lontz, Scott David can be contacted via phone (678) 205-4261.Contact Information
Primary practice address
6300 Hospital Pkwy Suite 400
Johns Creek GA 30097-1828
Phone: (678) 205-4261
Fax: (678) 417-7187
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 004965 | Georgia |
Profile Details
NPI number | 1154479970 |
---|---|
LBN Legal business name | Lontz, Scott David |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 8th, 2007 |
Last updated | Jun 3rd, 2014 - about 10 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 | 1154479970 | NPPES |
Georgia | MEDICAID | 479564086A |
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