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 | |
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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 |
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City | Dahlonega |
State | Georgia (GA) |
Post Code | 305331612 |
Phone Number | 7068676505 |
Fax Number | 7068679994 |
Provider's Primary Taxonomy Detail
Speciality | Primary Care |
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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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