| San Pablo Clinic, Llc | |
|
1301 Broadrick Dr Dalton GA 30720-3008 | |
| (706) 270-5990 | |
| (706) 270-5992 |
| Full Name | San Pablo Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1301 Broadrick Dr, Dalton, Georgia |
| Authorized Official Name and Position | Julia Garcia (MEMBER/MANAGER) |
| Authorized Official Contact | 7063139059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Pablo Clinic, Llc 1910 Keystone Way Dalton GA 30720-4812 Ph: () - | San Pablo Clinic, Llc 1301 Broadrick Dr Dalton GA 30720-3008 Ph: (706) 270-5990 |
| NPI Number | 1689078842 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 10/17/2014 |
| Medicare PECOS PAC ID | 4789996133 |
|---|---|
| Medicare Enrollment ID | O20150629000742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689078842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Julia Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174512321 PECOS PAC ID: 4981501913 Enrollment ID: I20031217000445 |
Griggs Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Broadrick Dr, Dalton, GA 30720 Phone: 706-529-4266 Fax: 706-529-4269 | |
Mednow, Inc, Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2709 Airport Rd, Suite 101, Dalton, GA 30721 Phone: 706-275-4444 Fax: 706-275-6515 | |
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 | |
Traditions Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1209 Starr Dr, Dalton, GA 30720 Phone: 706-217-1926 Fax: 706-217-1927 | |
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 | |
Shaw Family Health Center Plant Wd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2305 Abutment Rd, Dalton, GA 30721 Phone: 706-532-2588 Fax: 706-532-2589 | |
Walmart Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Shugart Rd, Dalton, GA 30720 Phone: 706-277-7661 Fax: 706-277-7669 |