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Contact Information

HENRY W SANICOLA III, MD
1432 BROADRICK DRIVE
DALTON, GA30720
 Phone: 706-226-8990
 Fax: 706-529-5317
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Student in an Organized Health Care Education/Training Program

390200000X
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for HENRY W SANICOLA III · (Male)

NPI Number 1497505085
Status Active
Credentials MD
Entity Individual
Enumeration date 03/25/2024
Last updated 05/20/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • GA License # 112392
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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