Healthcare Provider Details

I. General information

NPI: 1295951077
Provider Name (Legal Business Name): SCOTT ISAACS M.D. PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 JOHNSON FERRY RD NE
ATLANTA GA
30342-1408
US

IV. Provider business mailing address

775 JOHNSON FERRY RD NE
ATLANTA GA
30342-1408
US

V. Phone/Fax

Practice location:
  • Phone: 404-531-0350
  • Fax: 404-531-4095
Mailing address:
  • Phone: 404-531-0350
  • Fax: 404-531-4095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT D ISAACS
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 404-531-0350