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
Fax: (678) 417-7187
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154479970 NPPES
Georgia MEDICAID 479564086A

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