Gainesville Procedure Center Llc

NPI 1093110447 - Clinic/Center - 261QA1903X

NPI Details
NPI 1093110447
Enumeration Date 10/28/2014
Last Updated 11/12/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DAWNETTA JANENE DAWNETTA
Position DIRECTOR/OWNER
Phone (678) 989-1515
Fax (770) 868-5650
Practice Location
601 BROAD ST SE
SUITE E
GAINESVILLE GA, 30501-3729, US
Phone (678) 989-1515
Fax (770) 868-5650
Business Location
PO BOX 80307
ATHENS GA, 30608-0307, US
Phone (706) 549-8114
Fax (706) 549-7558
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
Remove 1093110447 NPI Number
 

According to our database, Gainesville Procedure Center Llc NPI is 1093110447, taxonomy code is 261QA1903X Gainesville Procedure Center Llc physically located at 601 Broad St Se, Gainesville GA, 30501-3729. NPI Number 1033115704 has the healthcare provider type.

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1093110447 NPI number is provided on an as is basis without warranty of any kind. 1093110447 is maintained by the National Plan & Provider Enumeration System. The contents of Gainesville Procedure Center Llc are for informational purposes only.