| Traditions Health | |
|
1209 Starr Dr Dalton GA 30720-2578 | |
| (706) 217-1926 | |
| (706) 217-1927 |
| Full Name | Traditions Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1209 Starr Dr, Dalton, Georgia |
| Authorized Official Name and Position | John Kerndl (PRESIDENT & CEO) |
| Authorized Official Contact | 9797046547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Traditions Health 150 4th Ave N Ste 2300 Nashville TN 37219-2466 Ph: (979) 704-6547 | Traditions Health 1209 Starr Dr Dalton GA 30720-2578 Ph: (706) 217-1926 |
| NPI Number | 1124766555 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 06/24/2024 |
| Medicare PECOS PAC ID | 3678709441 |
|---|---|
| Medicare Enrollment ID | O20220714000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124766555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Anthony G Captain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023035094 PECOS PAC ID: 0749259661 Enrollment ID: I20050228000463 |
| Provider Name | Brooklyn M Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598439648 PECOS PAC ID: 5395133870 Enrollment ID: I20211103000219 |
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