Sculptrx Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

34119 Issued in GA

Legal business name

SCULPTRX INC

Practice address

125 Townpark Dr NW
Ste 300
Kennesaw, GA 30144-5803

Phone

(770) 450-0846

NPI assigned

Aug 25, 2016

Last updated

Aug 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cassaundra Graves, MD

Title

Credentialing

Phone

(678) 613-2971

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1417402942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TOWNPARK DR NW",
            "address_2": "STE 300",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445803",
            "telephone_number": "770-450-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TOWNPARK DR NW",
            "address_2": "STE 300",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445803",
            "telephone_number": "770-450-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCULPTRX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "CASSAUNDRA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "678-613-2971",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "34119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole T Scotti, PA
• Merritt Scoville
• Isabelle Scriber
• Edward T Scruggs, MD
• Jannet R Scruggs, MD
• Clinton Seals, D.C.
• Brianna Seawood, DPT
• Priyanka Seekand, DMD
• Kimberly Marie Seheult, M ED, MHP, LAPC
• Danielle Senzer, M.S. CCC-SLP

• Anesthesiology Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.