# LA CLINIQUE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Nova Star Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285401901
- **Authorized official:** RAMSES VEGA-CASASNOVAS MD (OWNER)
- **Authorized official phone:** (336) 688-6240

## Contact information

- **Practice address:** 1240 N THORNTON AVE, DALTON, GA 30720-3605
- **Practice address phone:** (706) 229-9313
- **Practice address fax:** (706) 229-9388
- **Mailing address:** 1240 N THORNTON AVE, DALTON, GA 30720-3605
- **Mailing address phone:** (706) 229-9313
- **Mailing address fax:** (706) 229-9388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 12/04/2023
- **Last updated:** 08/25/2025