Organization
ETHNE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FLINT MEGILL (CFO)
(470) 799-0044
Entity
Organization
Contact information
Practice address
4122 E PONCE DE LEON AVE STE 5, CLARKSTON, GA 30021-1838
(470) 799-0044
Mailing address
4122 E PONCE DE LEON AVE STE 5, CLARKSTON, GA 30021-1838
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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