| Dahlonega Pediatrics | |
|
1055 North Grove St. Dahlonega GA 30533 | |
| (706) 864-6700 | |
| (706) 864-2599 |
| Full Name | Dahlonega Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 1055 North Grove St., Dahlonega, Georgia |
| Authorized Official Name and Position | Stephanie Corn (PROVIDER/OWNER) |
| Authorized Official Contact | 7068646700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dahlonega Pediatrics 1055 North Grove St Dahlonega GA 30533 Ph: (706) 864-6700 | Dahlonega Pediatrics 1055 North Grove St. Dahlonega GA 30533 Ph: (706) 864-6700 |
| NPI Number | 1427333095 |
|---|---|
| Provider Enumeration Date | 10/14/2011 |
| Last Update Date | 05/04/2015 |
| Medicare PECOS PAC ID | 6608015607 |
|---|---|
| Medicare Enrollment ID | O20130624000676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427333095 | NPI | - | NPPES |
| 000548369C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 11-8910 (Georgia) | Primary |
| 2080A0000X | Pediatrics - Adolescent Medicine | RN068135 (Georgia) | Secondary |
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Family Care Dahlonega LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Walmart Way Ste F-b, Dahlonega, GA 30533 Phone: 706-867-7666 |
Gold City Chiropractic, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Tipton Dr, Dahlonega, GA 30533 Phone: 706-963-0684 |
Allergy and Ent of Ga Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Mountain Dr, Dahlonega, GA 30533 Phone: 706-867-4306 Fax: 706-864-1356 |
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