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Organization
DARTMOUTH MEDICAL LLC
Active
Organization
DARTMOUTH MEDICAL LLC
Active
Other names
Dartmouth Medical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JIAN LIANG PANG MD (CEO)
(617) 610-9339
Entity
Organization
Contact information
Practice address
2959 SHARPSBURG MCCULLUM RD # 103, NEWNAN, GA 30265-2297
(617) 610-9339
Mailing address
2959 SHARPSBURG MCCULLUM RD # 103, NEWNAN, GA 30265-2297
(770) 202-1642
(770) 202-1643
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
01/25/2024
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