Individual
MRS. CONNIE DIANNE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2918 E WALNUT AVE, DALTON, GA 30721-8724
(706) 529-4600
Mailing address
389 COLEY CLF, ROCKY FACE, GA 30740-9212
(706) 537-3768
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN113005
GA
363LF0000X
Family Nurse Practitioner
Primary
RN113005
GA
Other
Enumeration date
08/29/2006
Last updated
11/13/2025
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