Allergy and ENT of Ga
Organization Active NPI Family Medicine Physician · Dahlonega, GA
NPI 1205919404 · NPPES record last updated Jun 30, 2011
Key facts
- NPI
- 1205919404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ALLERGY AND ENT OF GA
- Practice address
- 227 Mountain Dr
Dahlonega, GA 30533-1606 - Phone
- (706) 867-4306
- Fax
- (706) 864-1356
- NPI assigned
- Oct 23, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SOUTHERN HEALTH CORPORATION OF DAHLONEGA
Authorized official
- Name
- Mr. Larry R Jeter
- Title
- Ceo
- Phone
- (706) 867-4311
Practitioners 20
-
Benjamin G Allen, MD
-
Elizabeth A. Atkinson, M.D.
-
David James Conaway, D.O.
-
Leo Davis, M.D.
-
Ramzi Nabih Ghosn, M.D.
-
Carol A Hector, M.D.
-
Teresa Anne Payne, FNP
-
Raymond Eugene Polk, PA-C
-
Carrie Ann Reid, PA-C
-
Vickie Simmons, FNP
-
Benjamin Collin Stong, M.D.
-
Richard A Wherry, MD
-
Debra Ann Myers, FNP
-
Jerry Padrta Jr., MD
National Provider Directory
- Part of
- Southern Health Corporation
Locations
70 Mountain Dr
Ste C
Dahlonega, GA 30533
Phone (706) 867-0145
278 Highway 400 N
Ste 1160
Dawsonville, GA 30534
Phone (706) 265-8439
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Pediatrics Physician |
208000000X |
Addresses
Primary practice location
227 Mountain Dr
Dahlonega, GA 30533-1606
Mailing address
PO Box 1449
Dahlonega, GA 30533-0025
Phone (706) 864-1356
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC7827 | Other | GA | RAILROAD MEDICARE GROUP # |
Other names
- Allergy and ENT of GA
Other providers in Dahlonega, GA
- Anselm Kwaku Addo
- Aesthetics International USA
- Alison Sedgwick Alhadeff
- Seth Abraham Alhadeff
- Benjamin G Allen
- Alma Parker, M.D.P.C
- Madison Noel Amborski
- Amct Diagnostics Corp
- Amedisys Georgia, L.L.C.
- Alex Annis
All providers in Dahlonega, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.