Individual
DALTON S GEORGE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1559 JANMAR RD, SNELLVILLE, GA 30078-5606
(770) 336-7373
Mailing address
1559 JANMAR RD, SNELLVILLE, GA 30078-5606
(770) 336-7373
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB664007
GA
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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