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1922757111
DX MSO OF GEORGIA LLC
DALTON, GA
NPI
1922757111
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Entity Type
Organization
Authorized Contact
CHARLES TODD RUDOLPH
Medical Director
423-322-5050
Organization Subpart ?
No
Primary Taxonomy
261QU0200X Clinic/Center Urgent Care
Enumeration Date
2022-03-23
Last Update Date
2022-03-23
Business Address
DX MSO OF GEORGIA LLC
1302 W WALNUT AVE STE 1
DALTON, GA 30720-3827
Phone number: 423-476-5990
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Mailing Address
DX MSO OF GEORGIA LLC
1025 PEERLESS XING NW
CLEVELAND, TN 37312-3764
Phone number: 423-476-5990
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