Organization
DACULA PRIMARY CARE, LLC
Active
Other names
Dacula primary Care and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID F UHRY DC (NON-MEDICAL MANAGER)
(770) 822-1922
Entity
Organization
Contact information
Practice address
465 DACULA RD, SUITE J, DACULA, GA 30019-2170
(770) 822-1922
Mailing address
465 DACULA RD, SUITE J, DACULA, GA 30019-2170
(770) 822-1922
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
6683
GA
207Q00000X
Family Medicine Physician
Primary
25411
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538259940
PERSONAL NPI
GA
01
—
GRP5054
MEDICARE PTAN
GA
Enumeration date
05/19/2014
Last updated
05/19/2014
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