| Internal Medicine Associates Of Dalton Inc | |
|
1209 W Walnut Ave Suite 6 Dalton GA 30720-3961 | |
| (706) 226-5300 | |
| (706) 226-6277 |
| Full Name | Internal Medicine Associates Of Dalton Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1209 W Walnut Ave, Dalton, Georgia |
| Authorized Official Name and Position | David Stephen Carson (CEO) |
| Authorized Official Contact | 7062265300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of Dalton Inc 1209 W Walnut Ave Suite 6 Dalton GA 30720-3961 Ph: (706) 226-5300 | Internal Medicine Associates Of Dalton Inc 1209 W Walnut Ave Suite 6 Dalton GA 30720-3961 Ph: (706) 226-5300 |
| NPI Number | 1578766176 |
|---|---|
| Provider Enumeration Date | 06/09/2007 |
| Last Update Date | 01/25/2010 |
| Medicare PECOS PAC ID | 4587793146 |
|---|---|
| Medicare Enrollment ID | O20100520000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578766176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 48336 (Georgia) | Primary |
| Provider Name | David Stephen Carson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679575484 PECOS PAC ID: 3577692136 Enrollment ID: I20100520000534 |
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