# GOOD SHEPHERD CLINIC OF DAWSON COUNTY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083491799
- **Authorized official:** DR. DAVID K MOORE MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (404) 805-4834

## Contact information

- **Practice address:** 45 MEDICAL CENTER DR, DAWSONVILLE, GA 30534-6297
- **Practice address phone:** (706) 429-9914
- **Practice address fax:** (706) 429-9921
- **Mailing address:** 452 HIGHWAY 53 E UNIT 1009, DAWSONVILLE, GA 30534-4153
- **Mailing address phone:** (706) 429-9914
- **Mailing address fax:** (706) 429-9921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2023
- **Last updated:** 09/14/2023