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102 N Oaks Dr Dalton GA 30721-8392 | |
(706) 270-9989 | |
(706) 259-9601 |
Full Name | |
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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 |
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102 N Oaks Dr Dalton GA 30721-8392 Ph: (706) 270-9989 | 102 N Oaks Dr Dalton GA 30721-8392 Ph: (706) 270-9989 |
NPI Number | 1598794166 |
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Provider Enumeration Date | 07/03/2006 |
Last Update Date | 10/19/2007 |
Medicare PECOS PAC ID | 9830406735 |
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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 |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013940840 PECOS PAC ID: 8921293051 Enrollment ID: I20101115000377 |
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 | |