Organization
SAN PABLO CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA GARCIA MD (MEMBER/MANAGER)
(706) 313-9059
Entity
Organization
Contact information
Practice address
1301 BROADRICK DR, DALTON, GA 30720-3008
(706) 270-5990
(706) 270-5992
Mailing address
1910 KEYSTONE WAY, DALTON, GA 30720-4812
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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