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1023292190
ECC CHATSWORTH DALTON MC, LLC
DALTON, GA
NPI
1023292190
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Entity Type
Organization
Authorized Contact
JOHN R STALEY
President
888-203-1274
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2007-12-24
Last Update Date
2007-12-24
Business Address
ECC CHATSWORTH DALTON MC, LLC
1200 MEMORIAL DRIVE
DALTON, GA 30722-1168
Phone number: 706-272-6158
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Mailing Address
ECC CHATSWORTH DALTON MC, LLC
P O BOX 635919
CINCINNATI, OH 45263-5919
Phone number:
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