Organization
DIMA HEALTHCARE, INC
Active
Other names
Northcrest Urgent Care & Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER LACKEY (MANAGER)
(707) 111-1111
Entity
Organization
Contact information
Practice address
7768 CUMMING HWY STE 300, CANTON, GA 30115-2982
(707) 111-1111
Mailing address
PO BOX 817, COMMERCE, GA 30529-0016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
06/10/2021
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