WOODLAWN MEDICAL GROUP OF ARIZONA NPI 1104045251

NPI Information

  • NPI: 1104045251
  • Provider Name: WOODLAWN MEDICAL GROUP OF ARIZONA
  • Classification: Radiologic Technologist - 2471S1302X
  • Specialization: Sonography
  • Entity Type: Organization
  • Address: 3535 ROSWELL RD
    SUITE 20
    MARIETTA, GA
    ZIP 30062
  • Phone: (770) 303-4499

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NPI Details

WOODLAWN MEDICAL GROUP OF ARIZONA is a sonography radiologic technologist in Marietta, GA. The provider is a radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols, radiation safety, and patient care. WOODLAWN MEDICAL GROUP OF ARIZONA NPI is 1104045251. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3535 ROSWELL RD
SUITE 20
MARIETTA, GA
ZIP 30062-826
Phone: (770) 303-4499
Fax: (770) 303-9901

The provider's authorized official is Robert Warren Scruggs .
The authorized official title is Ceo and has the following contact phone number (770) 303-4499.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 11/1/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12471S1302XRadiologic TechnologistSonography07689701WARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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