Organization
PAULDING ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN M. CABLE (EXECUTIVE DIRECTOR)
(770) 445-6051
Entity
Organization
Contact information
Practice address
110 STADIUM DR, DALLAS, GA 30132-3610
(770) 445-6051
(770) 443-2374
Mailing address
110 STADIUM DR, DALLAS, GA 30132-3610
(770) 445-6051
(770) 443-2374
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000696847A
—
GA
05
—
000696847D
—
GA
05
—
000696847E
—
GA
05
—
000696847F
—
GA
Enumeration date
09/12/2011
Last updated
09/12/2011
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