in Dahlonega - Primary Care

- NPI 1851558811

is a Primary Care in Dahlonega, Georgia. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for is 1851558811. The last update date is .

's current location address is 24 Alicia Ln, Dahlonega, Georgia. You can contact this provider via phone number 7068676505 and fax number 7068679994. The mailing address for is 24 Alicia Ln, Dahlonega, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 24 Alicia Ln, Dahlonega, Georgia
Phone Number 7068676505
Fax Number 7068679994
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1851558811
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 24 Alicia Ln
City Dahlonega
State Georgia (GA)
Post Code 305331612
Phone Number 7068676505
Fax Number 7068679994

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Licence No 37640
Definition:
Serves as the first point of contact for comprehensive healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00569753J GA --

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