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304 Brickyard Rd Dalton GA 30721-4815 | |
(706) 876-1870 | |
(706) 277-7626 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 304 Brickyard Rd, Dalton, Georgia |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 400 Brentwood TN 37027-7048 Ph: () - | 304 Brickyard Rd Dalton GA 30721-4815 Ph: (706) 876-1870 |
NPI Number | 1730679515 |
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Provider Enumeration Date | 05/16/2018 |
Last Update Date | 08/24/2022 |
Identifier | Type | State | Issuer |
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1730679515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (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 | |