Organization
DALTON SURGICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA HOLT (OFFICE MANAGER)
(706) 278-6403
Entity
Organization
Contact information
Practice address
1504 BROADRICK DR, DALTON, GA 30720
(706) 278-6403
(706) 278-0087
Mailing address
PO BOX 1969, 1504 BROADRICK DR, DALTON, GA 30722-1969
(706) 278-6403
(706) 278-0087
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/28/2006
Last updated
06/15/2010
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