Healthcare Provider Details

I. General information

NPI: 1487857447
Provider Name (Legal Business Name): JAMES ANDREW SCOLET PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NHC HEALTHCARE 2203 BATTLEFIELD PARKWAY
FORT OGLETHORPE GA
30742
US

IV. Provider business mailing address

20 ROBERT LN
RINGGOLD GA
30736-7200
US

V. Phone/Fax

Practice location:
  • Phone: 706-866-7700
  • Fax:
Mailing address:
  • Phone: 423-364-3849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2297
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: