Basic Information
| Provider Information | |||||||||
| NPI: | 1295720977 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAHOON | ||||||||
| FirstName: | SCOTT | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6635 LAKE DR | ||||||||
| Address2: | |||||||||
| City: | MORROW | ||||||||
| State: | GA | ||||||||
| PostalCode: | 302602354 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7709681323 | ||||||||
| FaxNumber: | 7709684556 | ||||||||
| Practice Location | |||||||||
| Address1: | 6635 LAKE DR | ||||||||
| Address2: | |||||||||
| City: | MORROW | ||||||||
| State: | GA | ||||||||
| PostalCode: | 302602354 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7709681323 | ||||||||
| FaxNumber: | 7709684556 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/19/2005 | ||||||||
| LastUpdateDate: | 03/27/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 048492 | GA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.