# PRIME CARE DAHLONEGA LLC

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

## Provider details

- **NPI number:** 1619442829
- **Authorized official:** LANIE WELCH NP (OWNER)
- **Authorized official phone:** (912) 245-1145

## Contact information

- **Practice address:** 400 WALMART WAY STE F, DAHLONEGA, GA 30533-0829
- **Practice address phone:** (706) 867-7666
- **Mailing address:** PO BOX 449, VIDALIA, GA 30475-0449
- **Mailing address phone:** (912) 538-0640
- **Mailing address fax:** (912) 538-0168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/04/2018
- **Last updated:** 10/24/2022