Organization
DALTON ONSITE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARA H WATKINS PA-C (PARTNER)
(706) 264-0630
Entity
Organization
Contact information
Practice address
2613 VALLEY VIEW DR, ROCKY FACE, GA 30740-8908
(706) 264-0630
Mailing address
2613 VALLEY VIEW DRIVE, ROCKY FACE, GA 30740
(706) 264-0630
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
24831
GA
363A00000X
Physician Assistant
2396
GA
363A00000X
Physician Assistant
4110
GA
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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