Individual
DAULTON E TODD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
418 PIRKLE FERRY RD, SUITE 103, CUMMING, GA 30040-2529
(770) 781-6373
(770) 781-6381
Mailing address
PO BOX 1739, CUMMING, GA 30028-1739
(770) 781-6373
(770) 781-6381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
029116
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000344858B
—
GA
Enumeration date
07/12/2006
Last updated
06/24/2010
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