Individual provider · Type 1 NPI

Henry William Sanicola Iii, MD

Student in an Organized Health Care Education/Training Program · Dalton, GA

NPI number 1497505085 Active

Practice location

1432 Broadrick Drive
Dalton, GA 30720

Call (706) 226-8990 Map

Fax (706) 529-5317

Mailing address

1200 Memorial Drive
Dalton, GA 30720

Other practice locations

  • 218 N Fredrick St, Dalton, GA 30721-3242 · (706) 581-2009

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X112392 (GA)
General Practice Physician 208D00000X112392 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

24 other providers at this address

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About NPI 1497505085

Henry William Sanicola Iii, MD's National Provider Identifier is 1497505085, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dalton, GA. The record was last updated on May 20, 2026.