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Contact Information

DALTON ONSITE CARE, LLC
2613 VALLEY VIEW DR
ROCKY FACE, GA30740-8908
 Phone: 706-264-0630
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DALTON ONSITE CARE, LLC

NPI # 1902096639
LBN Legal business name DALTON ONSITE CARE, LLC
Authorized official CARA WATKINS - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2007
Last updated 07/30/2007 - About 19 years ago
Identifiers
GA License # 2396
GA License # 24831
GA License # 4110
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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