La Clinique Llc | |
1240 N Thornton Ave Dalton GA 30720-3605 | |
(706) 229-9313 | |
(706) 229-9388 |
Full Name | La Clinique Llc |
---|---|
Speciality | Internal Medicine |
Location | 1240 N Thornton Ave, Dalton, Georgia |
Authorized Official Name and Position | Ramses Vega-casasnovas (OWNER) |
Authorized Official Contact | 3366886240 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
La Clinique Llc 1240 N Thornton Ave Dalton GA 30720-3605 Ph: (706) 229-9313 | La Clinique Llc 1240 N Thornton Ave Dalton GA 30720-3605 Ph: (706) 229-9313 |
NPI Number | 1285401901 |
---|---|
Provider Enumeration Date | 12/04/2023 |
Last Update Date | 12/04/2023 |
Medicare PECOS PAC ID | 0840637393 |
---|---|
Medicare Enrollment ID | O20240320002180 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285401901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Amy Lynn Garner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962970400 PECOS PAC ID: 4385985944 Enrollment ID: I20190408002542 |
Provider Name | Ramses L Vega-casasnovas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073741369 PECOS PAC ID: 5092964833 Enrollment ID: I20200922000880 |
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 | |