NPI | 1427333095 |
---|---|
Doing Business As | DAHLONEGA PEDIATRICS |
Entity Type | Organization |
Authorized Contact | STEPHANIE CORN Provider/Owner 706-864-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: GA 11-8910) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA RN068135) |
Enumeration Date | 2011-10-14 |
Last Update Date | 2015-05-04 |