| Daulton E Todd Jr Md Pc | |
|
418 Pirkle Ferry Rd Ste 103 Cumming GA 30040-2529 | |
| (770) 781-6373 | |
| (770) 781-6381 |
| Full Name | Daulton E Todd Jr Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 418 Pirkle Ferry Rd, Cumming, Georgia |
| Authorized Official Name and Position | Daulton E Todd (OWNER/PROPRIETOR) |
| Authorized Official Contact | 7707816373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daulton E Todd Jr Md Pc 418 Pirkle Ferry Rd Ste 103 Cumming GA 30040-2529 Ph: (770) 781-6373 | Daulton E Todd Jr Md Pc 418 Pirkle Ferry Rd Ste 103 Cumming GA 30040-2529 Ph: (770) 781-6373 |
| NPI Number | 1588049977 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 07/27/2015 |
| Medicare PECOS PAC ID | 7719288158 |
|---|---|
| Medicare Enrollment ID | O20151209001017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588049977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 029116 (Georgia) | Primary |
| Provider Name | Daulton E Todd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447285770 PECOS PAC ID: 8123198595 Enrollment ID: I20080528000711 |
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