I D Specialist Dalton P C

LBN: I D Specialist Dalton P C
I D Specialist Dalton P C is an health care organization with primary practice located at 1200 E Walnut Ave Ste 4 , Dalton GA 30721-4191. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. I D Specialist Dalton P C can be contacted via phone (706) 428-8908, or through Rojas, Valmyth J via phone (706) 428-8908.

Contact Information

Primary practice address
1200 E Walnut Ave Ste 4 Dalton GA 30721-4191
Phone: (706) 428-8908
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rojas, Valmyth J BBA, PCP
Phone: (706) 428-8908

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 046533 Georgia

Profile Details

NPI number 1043533649
LBN Legal business name I D Specialist Dalton P C
DBA Doing business as
Authorized official Rojas, Valmyth J BBA, PCP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2010
Last updated Mar 10th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043533649 NPPES
Florida MEDICAID 251036700

Popular Providers