| Primacare | |
|
102 N Oaks Dr Dalton GA 30721-8392 | |
| (706) 270-9989 | |
| (706) 259-9601 |
| Full Name | Primacare |
|---|---|
| Speciality | Family Medicine |
| Location | 102 N Oaks Dr, Dalton, Georgia |
| Authorized Official Name and Position | James R Zuppa (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7062709989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primacare 102 N Oaks Dr Dalton GA 30721-8392 Ph: (706) 270-9989 | Primacare 102 N Oaks Dr Dalton GA 30721-8392 Ph: (706) 270-9989 |
| NPI Number | 1598794166 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 10/19/2007 |
| Medicare PECOS PAC ID | 9830406735 |
|---|---|
| Medicare Enrollment ID | O20150909002033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598794166 | NPI | - | NPPES |
| 52526190 | Other | GA | BCBS GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James R Zuppa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013940840 PECOS PAC ID: 8921293051 Enrollment ID: I20101115000377 |
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