Organization · Type 2 NPI
Dahlonega Pediatric and Adolescent Medicine
Rural Health Clinic/Center · Dahlonega, GA
NPI number
1427333095
Active
Practice location
1055 North Grove St.
Dahlonega, GA 30533
Fax (706) 864-2599
Mailing address
1055 North Grove St
Dahlonega, GA 30533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | RN068135 (GA) |
| Rural Health Clinic/Center Primary | 261QR1300X | 11-8910 (GA) |
Rural Health Clinic/Center: Definition to come...
Other rural health clinic/center providers in Dahlonega
About NPI 1427333095
Dahlonega Pediatric and Adolescent Medicine's National Provider Identifier is 1427333095, issued on Oct 14, 2011. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Dahlonega, GA. The record was last updated on May 4, 2015.