Scot G Forte, CSA
Specialist/Technologist, Other, Surgical Assistant in Suwanee, GA. Individual provider (NPI-1).
NPI number1265403174
StatusActive
Last updated in NPPESJun 21, 2022
Details
- NPI
- 1265403174
- Entity type
- Individual (NPI-1)
- Name
- Mr. Scot G Forte
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2006
- Certification date
- Jun 21, 2022
- Last updated
- Jun 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 1421 | GA | Yes |
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | SA00070 | TX | |
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | – | – | |
| 363AS0400X | Physician Assistant, Surgical | 1421 | GA |
Practice location
5245 Antler CtSuwanee, GA 30024-4114
Phone 214-227-2457 · Fax 214-764-0880
Mailing address
Po Box 3021Duluth, GA 30096-0052
Phone 214-227-2457 · Fax 214-764-0880
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