Organization
DALTON OBSTETRICS & GYNECOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE BRIDGES (PRACTICE MANAGER)
(706) 226-6542
Entity
Organization
Contact information
Practice address
1108 PROFESSIONAL BLVD, DALTON, GA 30720-2588
(706) 226-6542
(706) 226-1273
Mailing address
1108 PROFESSIONAL BOULEVARD, DALTON, GA 30720-2581
(706) 226-6542
(706) 226-1273
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300023234A
—
GA
Enumeration date
05/11/2006
Last updated
01/13/2012
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