Ecc Chatsworth Dalton MC, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

ECC CHATSWORTH DALTON MC, LLC

Practice address

1200 Memorial Drive
Dalton, GA 30722-1168

Phone

(706) 272-6158

NPI assigned

Dec 24, 2007

Last updated

Dec 24, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John R Staley Jr., MD

Title

President

Phone

(888) 203-1274

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1023292190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 635919",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MEMORIAL DRIVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307221168",
            "telephone_number": "706-272-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECC CHATSWORTH DALTON MC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "STALEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-203-1274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Alexis Eaker, FDNP
• Allison Anastasia Eargle, MCD, CCC-SLP
• Earley Daze Anesthesia LLC
• Conrad Harlan Easley, MD
• Rachel Stuckey Easterwood, WHNP-BC
• Morgan Eddy, CRNA
• Michelle Blalock Edgeman, CNM
• Sarah Edgeman, NP
• Kathleen Lane Edwards, MA, CCC-SLP
• Kellie Bramlett Edwards, RRT

• Emergency Medicine Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.