Woodlawn Medical Group of Arizona

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

07689701W Issued in AZ

Legal business name

WOODLAWN MEDICAL GROUP OF ARIZONA

Practice address

3535 Roswell Rd
Suite 20
Marietta, GA 30062-8826

Phone

(770) 303-4499

Fax

(770) 303-9901

NPI assigned

Apr 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Warren Scruggs

Title

Ceo

Phone

(770) 303-4499

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1104045251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 ROSWELL RD",
            "address_2": "SUITE 20",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628826",
            "telephone_number": "770-303-4499",
            "fax_number": "770-303-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 ROSWELL RD",
            "address_2": "SUITE 20",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628826",
            "telephone_number": "770-303-4499",
            "fax_number": "770-303-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN MEDICAL GROUP OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "SCRUGGS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-303-4499"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "AZ",
            "license": "07689701W",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Wood, NP
• Leslie Kevin Wood, D.C.
• Nicole Walker Wood, M.A., LPC, NCC, CPCS
• Emily Woodby, DO
• Andrew Finley Woodham, PA
• Woodlawn Medical Group, Inc.
• Nancy Woodruff
• Teresa Harris Woodruff, LPC, CTS, ATR
• Thomas Neil Woodruff, DPT
• Brittany Monique Woods, APC

• Sonography Radiologic Technologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Sonography Radiologic Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.