Organization
DMD ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN D IDOM MD (OWNER)
(706) 537-1131
Entity
Organization
Contact information
Practice address
1436 CHATTANOOGA AVE, DALTON, GA 30720-2637
(706) 537-1131
Mailing address
1611 RYMAN RIDGE RD, DALTON, GA 30720-3891
(706) 537-1131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
50891
GA
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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