Dahlonega Physician Group Pc

NPI 1003988908 - Family Medicine - 207Q00000X

NPI Details
NPI 1003988908
Enumeration Date 11/15/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICHARD A RICHARD
Position MD
Phone (706) 864-4012
Fax (706) 864-4029
Practice Location
59 TIPTON DR
DAHLONEGA GA, 30533-1603, US
Phone (706) 864-4012
Fax (706) 864-4029
Business Location
59 TIPTON DR
DAHLONEGA GA, 30533-1603, US
Phone (706) 864-4012
Fax (706) 864-4029
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 017341
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According to our database, Dahlonega Physician Group Pc NPI is 1003988908, taxonomy code is 207Q00000X and license number is 017341, license state is located at Georgia. Dahlonega Physician Group Pc physically located at 59 Tipton Dr, Dahlonega GA, 30533-1603. NPI Number 1033115704 has the healthcare provider type.

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1003988908 NPI number is provided on an as is basis without warranty of any kind. 1003988908 is maintained by the National Plan & Provider Enumeration System. The contents of Dahlonega Physician Group Pc are for informational purposes only.