I D Specialist Dalton P C | |
1200 E Walnut Ave Ste 4 Dalton GA 30721-4191 | |
(706) 428-8908 | |
Not Available |
Full Name | I D Specialist Dalton P C |
---|---|
Speciality | Internal Medicine - Infectious Disease |
Location | 1200 E Walnut Ave Ste 4, Dalton, Georgia |
Authorized Official Name and Position | Valmyth J Rojas (ADMINISTRATOR) |
Authorized Official Contact | 7064288908 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
I D Specialist Dalton P C 1200 E Walnut Ave Ste 4 Dalton GA 30721-4191 Ph: (706) 428-8908 | I D Specialist Dalton P C 1200 E Walnut Ave Ste 4 Dalton GA 30721-4191 Ph: (706) 428-8908 |
NPI Number | 1043533649 |
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Provider Enumeration Date | 03/10/2010 |
Last Update Date | 03/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043533649 | NPI | - | NPPES |
251036700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 046533 (Georgia) | Primary |
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 | |