Organization
DARTMOUTH MEDICAL LLC
Active
Other names
Dartmouth Medical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JIAN LIANG PANG MD (CEO)
(617) 610-9339
Entity
Organization
Contact information
Practice address
2959 SHARPSBURG MCCULLUM RD # 103, NEWNAN, GA 30265-2297
(617) 610-9339
Mailing address
2959 SHARPSBURG MCCULLUM RD # 103, NEWNAN, GA 30265-2297
(770) 202-1642
(770) 202-1643
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
01/25/2024
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