Organization
IPC DALTON ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA LIDELLE HARE DO (MEDICAL DIRECTOR)
(706) 847-0826
Entity
Organization
Contact information
Practice address
1502 DUG GAP RD, DALTON, GA 30720-5004
(706) 847-0826
(706) 529-9850
Mailing address
1502 DUG GAP RD, DALTON, GA 30720-5004
(706) 847-0826
(706) 529-9850
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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