St. Joseph Clinic, P.c. | |
1102 W Waugh St Dalton GA 30720-8769 | |
(706) 277-2321 | |
(706) 226-1492 |
Full Name | St. Joseph Clinic, P.c. |
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Speciality | Psychiatry & Neurology |
Location | 1102 W Waugh St, Dalton, Georgia |
Authorized Official Name and Position | Pablo E Perez (CEO) |
Authorized Official Contact | 7062772321 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St. Joseph Clinic, P.c. 1102 W Waugh St Dalton GA 30720-8769 Ph: (706) 277-2321 | St. Joseph Clinic, P.c. 1102 W Waugh St Dalton GA 30720-8769 Ph: (706) 277-2321 |
NPI Number | 1255480836 |
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Provider Enumeration Date | 01/10/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2860473667 |
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Medicare Enrollment ID | O20040527000435 |
Identifier | Type | State | Issuer |
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1255480836 | NPI | - | NPPES |
Provider Name | Pablo E Perez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942218086 PECOS PAC ID: 6103807904 Enrollment ID: I20040528000249 |
Provider Name | Carlos Perez |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1033229661 PECOS PAC ID: 5496760563 Enrollment ID: I20060210000033 |
Provider Name | Gina Hiatt Shumway |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710316641 PECOS PAC ID: 8426274481 Enrollment ID: I20140728001661 |
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 | |