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1217 Memorial Dr Suite 2 Dalton GA 30720-2535 | |
(706) 270-5990 | |
(706) 270-5992 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1217 Memorial Dr Suite 2, Dalton, Georgia |
Authorized Official Name and Position | Firoz Patha (PRESIDENT) |
Authorized Official Contact | 4786257597 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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809 Peachtree Street Louisville GA 30434-1449 Ph: (478) 625-7597 | 1217 Memorial Dr Suite 2 Dalton GA 30720-2535 Ph: (706) 270-5990 |
NPI Number | 1619037769 |
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Provider Enumeration Date | 12/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1619037769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (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 | |