Organization
DAHLONEGA INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA W WHITFIELD M.D. (OWNER)
(706) 864-1580
Entity
Organization
Contact information
Practice address
109 TIPTON DR, DAHLONEGA, GA 30533-1604
(706) 864-1580
(706) 864-1587
Mailing address
PO BOX 68, DAHLONEGA, GA 30533-0002
(706) 864-1580
(706) 864-1587
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048130
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000909191B
—
GA
Enumeration date
05/21/2007
Last updated
08/30/2012
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