MEDICARE: SCOTT GARY PARSONS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	22997	SC
2	208000000X	Pediatrics Physician	068265	GA

General Provider Information

NPI Number	:	1104898410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT GARY PARSONS M.D.

Provider Business Mailing Address
First Line	:	3495 PIEDMONT RD NE
Second Line	:	NINE PIEDMONT CENTER
City	:	ATLANTA
State	:	GA
Zip	:	30305-1717
Country	:	US
Telephone Number	:	404-364-7070
Fax Number	:	803-765-9052

Provider Business Practice Location Address
First Line	:	1435 BROADMOOR BLVD
Second Line	:	KAISER PERMANENTE SUGAR HILL/BUFORD MEDICAL CENTER
City	:	BUFORD
State	:	GA
Zip	:	30518-5408
Country	:	US
Telephone Number	:	678-765-5735
Fax Number	:	803-765-9052

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	01/07/2022

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