Organization
I D SPECIALIST DALTON P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALMYTH J ROJAS BBA, PCP (ADMINISTRATOR)
(706) 428-8908
Entity
Organization
Contact information
Practice address
1200 E WALNUT AVE STE 4, DALTON, GA 30721-4191
(706) 428-8908
Mailing address
1200 E WALNUT AVE STE 4, DALTON, GA 30721-4191
(706) 428-8908
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
046533
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251036700
—
FL
Enumeration date
03/10/2010
Last updated
03/10/2010
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