Most Relevant Information
Provider Data
| NPI Number: | 1003825969 |
| Provider Name: | SCOTT ANTHONY DECIANTIS ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 491 |
Most Important Dates
| Enumeration Date: | 08/07/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
471 UNIVERSITY PARKWAY
USCA ATEP
AIKEN
SC
29801
Practice Location Phone/Fax
| Phone: | 8036413207 |
| Fax: | 8036413723 |
Provider Mailing Location
3428 WESTMONT DR
AIKEN
SC
298012969
Provider Mailing Phone/Fax
| Phone: | 8034391677 |
| Fax: | 8036413723 |