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Search › Georgia › 156FX1800X

Scott Provost, LDO

NPI 1447949029 · on the registry since 2023

Practice

Address
4375 Lexington Rd
Athens, GA 30605
Phone
(706) 355-3142
Fax
(706) 355-3820
Organisation at this address
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Sex
Male
Record last updated
2023-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia