Organization
FAMILY MEDICINE ASSOCIATES OF DALTON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM TRIGGS BOYETT JR. MD (PRESIDENT)
(706) 529-1765
Entity
Organization
Contact information
Practice address
1243 BROADRICK DR, DALTON, GA 30720-2800
(706) 529-1765
(706) 529-7438
Mailing address
1243 BROADRICK DR, DALTON, GA 30720-2800
(706) 529-1765
(706) 529-7438
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048758
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257154400
—
GA
Enumeration date
04/17/2007
Last updated
02/23/2010
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