| Ethne Health | |
|
4122 E Ponce De Leon Ave Ste 5 Clarkston GA 30021-1838 | |
| (470) 799-0044 | |
| Not Available |
| Full Name | Ethne Health |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4122 E Ponce De Leon Ave Ste 5, Clarkston, Georgia |
| Authorized Official Name and Position | Daniel Flint Megill (CFO) |
| Authorized Official Contact | 4707990044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethne Health 4122 E Ponce De Leon Ave Ste 5 Clarkston GA 30021-1838 Ph: () - | Ethne Health 4122 E Ponce De Leon Ave Ste 5 Clarkston GA 30021-1838 Ph: (470) 799-0044 |
| NPI Number | 1073389219 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073389219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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