| Fpa | |
|
407 N Thornton Ave Ste 4 Dalton GA 30720-3549 | |
| (762) 231-5806 | |
| Not Available |
| Full Name | Fpa |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 407 N Thornton Ave Ste 4, Dalton, Georgia |
| Authorized Official Name and Position | David Ellis (CEO) |
| Authorized Official Contact | 7622315806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fpa 407 N Thornton Ave Ste 4 Dalton GA 30720-3549 Ph: (762) 231-5806 | Fpa 407 N Thornton Ave Ste 4 Dalton GA 30720-3549 Ph: (762) 231-5806 |
| NPI Number | 1205686177 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205686177 | NPI | - | NPPES |
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