Pediatrics Of Dalton, Pa in Dalton - Specialist
Pediatrics Of Dalton, Pa - NPI 1063679207
Pediatrics Of Dalton, Pa is a Specialist in Dalton, Georgia. Pediatrics Of Dalton, Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Pediatrics Of Dalton, Pa is 1063679207. The last update date is 2015-06-17.
Pediatrics Of Dalton, Pa's current location address is 1409 Chattanooga Ave, Dalton, Georgia. You can contact this provider via phone number 7062785373 and fax number 7062785085. The mailing address for Pediatrics Of Dalton, Pa is 1409 Chattanooga Ave, Dalton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatrics Of Dalton, Pa |
|---|---|
| Address | 1409 Chattanooga Ave, Dalton, Georgia |
| Phone Number | 7062785373 |
| Fax Number | 7062785085 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Dockery Donna |
| Telephone Number | 7062785373 |
NPI Number Detail
| NPI Number | 1063679207 |
|---|---|
| Provider Enumeration Date | 2008-05-16 |
| Last Updated Date | 2015-06-17 |
Provider Mailing Address Detail
| Address | 1409 Chattanooga Ave |
|---|---|
| City | Dalton |
| State | Georgia (GA) |
| Post Code | 307202631 |
| Phone Number | 7062785373 |
| Fax Number | 7062785085 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 15426 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30019480A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pediatrics Of Dalton, Pa by the Centers for Medicare & Medicaid Services?
The Pediatrics Of Dalton, Pa has been issued the NPI (National Provider Identifier) 1063679207, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Pediatrics Of Dalton, Pa's facilities are geographically located?
The facilities of Pediatrics Of Dalton, Pa are physically situated at the following location: 1409 Chattanooga Ave, Dalton, GA, 307202631.
What is Pediatrics Of Dalton, Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pediatrics Of Dalton, Pa is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063679207 to Pediatrics Of Dalton, Pa?
The Centers for Medicare & Medicaid Services assigned the 1063679207 to Pediatrics Of Dalton, Pa on 2008-05-16.
When was the information pertaining to Pediatrics Of Dalton, Pa most recently updated or revised?
The details related to Pediatrics Of Dalton, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2015-06-17.
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