Family Medicine Associates Of Dalton Pc | |
1243 Broadrick Dr Dalton GA 30720-2800 | |
(706) 529-1765 | |
(706) 529-7438 |
Full Name | Family Medicine Associates Of Dalton Pc |
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Speciality | Family Medicine |
Location | 1243 Broadrick Dr, Dalton, Georgia |
Authorized Official Name and Position | William Triggs Boyett (PRESIDENT) |
Authorized Official Contact | 7065291765 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Medicine Associates Of Dalton Pc 1243 Broadrick Dr Dalton GA 30720-2800 Ph: (706) 529-1765 | Family Medicine Associates Of Dalton Pc 1243 Broadrick Dr Dalton GA 30720-2800 Ph: (706) 529-1765 |
NPI Number | 1598981664 |
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Provider Enumeration Date | 04/17/2007 |
Last Update Date | 02/23/2010 |
Medicare PECOS PAC ID | 1052410156 |
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Medicare Enrollment ID | O20101110000520 |
Identifier | Type | State | Issuer |
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1598981664 | NPI | - | NPPES |
257154400 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 048758 (Georgia) | Primary |
Provider Name | William T Boyett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053366286 PECOS PAC ID: 5890751655 Enrollment ID: I20041203000636 |
I D Specialist Dalton P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 E Walnut Ave Ste 4, Dalton, GA 30721 Phone: 706-428-8908 | |
The Deo Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 N Fredrick St, Dalton, GA 30721 Phone: 706-581-2009 Fax: 706-529-5055 | |