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1507 Professional Ct Dalton GA 30720-2500 | |
(706) 277-0700 | |
(706) 277-0076 |
Full Name | |
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Speciality | Clinic/center |
Location | 1507 Professional Ct, Dalton, Georgia |
Authorized Official Name and Position | Dana G Purcell (ADMINISTRATOR) |
Authorized Official Contact | 7062770106 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 6127 Dalton GA 30722-6127 Ph: (706) 277-0106 | 1507 Professional Ct Dalton GA 30720-2500 Ph: (706) 277-0700 |
NPI Number | 1386642015 |
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Provider Enumeration Date | 07/07/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1386642015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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 | |