Organization
DALTON CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE GREESON (MANAGER/ADMINISTRATOR)
(706) 226-3434
Entity
Organization
Contact information
Practice address
1436 BROADRICK DR, SUITE B, DALTON, GA 30720-3176
(706) 226-3434
(706) 226-4820
Mailing address
1436 BROADRICK DR, SUITE B, DALTON, GA 30720-3176
(706) 226-3434
(706) 226-4820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN036308
GA
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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