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NPI Code Detail

MEDICARE: ABIGAIL SCANLAN CPNP

MEDICARE: ABIGAIL SCANLAN CPNP
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
1363LP2300XPrimary Care Nurse PractitionerAPRN-NP290165GA
2363LP0200XPediatric Nurse PractitionerAPRN-NP290165GA

General Provider Information

NPI Number : 1770128266
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL SCANLAN CPNP
Provider Business Mailing Address
First Line : 1875 CENTURY BLVD NE STE 150
Second Line :
City : ATLANTA
State : GA
Zip : 30345-3323
Country : US
Telephone Number : 404-633-4595
Fax Number :
Provider Business Practice Location Address
First Line : 1875 CENTURY BLVD NE STE 150
Second Line :
City : ATLANTA
State : GA
Zip : 30345-3323
Country : US
Telephone Number : 404-633-4595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2019
Last Update Date : 12/04/2025

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Directions to “ ABIGAIL SCANLAN CPNP” Practice Location

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