Individual
JOHN S ANTALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1504 N THORNTON AVE STE 107, DALTON, GA 30720-8394
(067) 278-0138
Mailing address
4300 N POINT PKWY STE 300, ALPHARETTA, GA 30022-4102
(770) 442-1911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26767
GA
Other
Enumeration date
10/10/2005
Last updated
10/02/2023
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