Organization
DAHLONEGA PEDIATRIC & ADOLESCENT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON LOCKE (OFFICE MANAGER)
(706) 864-6700
Entity
Organization
Contact information
Practice address
1055 GROVE ST N, DAHLONEGA, GA 30533-3876
(706) 864-6700
(706) 864-2599
Mailing address
1055 GROVE ST N, DAHLONEGA, GA 30533-3876
(706) 864-6700
(706) 864-2599
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
033810
GA
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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