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Individual

DR. BOOKER H DALTON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
95 COLLIER RD NW, STE 4075, ATLANTA, GA 30309-1751
(404) 603-3543
(404) 350-8795
Mailing address
95 COLLIER RD NW, STE 4075, ATLANTA, GA 30309-1751
(404) 603-3543
(404) 350-8795

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
035608
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00502928C
GA
Enumeration date
06/10/2005
Last updated
12/17/2007
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