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35 Lumpkin Campground Road N Dawsonville GA 30534 | |
| (706) 265-8439 | |
| (706) 265-8442 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 35 Lumpkin Campground Road N, Dawsonville, Georgia |
| Authorized Official Name and Position | Natashea M Bennett (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7062658439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
35 Lumpkin Campground Road N Dawsonville GA 30534 Ph: (706) 265-8439 | 35 Lumpkin Campground Road N Dawsonville GA 30534 Ph: (706) 265-8439 |
| NPI Number | 1215260617 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215260617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Georgia) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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