Dalton Cardiology

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN036308 Issued in GA

Legal business name

DALTON CARDIOLOGY

Practice address

1436 Broadrick Dr
Suite B
Dalton, GA 30720-3176

Phone

(706) 226-3434

Fax

(706) 226-4820

NPI assigned

Sep 22, 2009

Last updated

Sep 22, 2009By 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

Ms. Diane Greeson

Title

Manager/Administrator

Phone

(706) 226-3434

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1699009878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 BROADRICK DR",
            "address_2": "SUITE B",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203176",
            "telephone_number": "706-226-3434",
            "fax_number": "706-226-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 BROADRICK DR",
            "address_2": "SUITE B",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203176",
            "telephone_number": "706-226-3434",
            "fax_number": "706-226-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTON CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "GREESON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "706-226-3434",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN036308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dalton Ear Nose & Throat Associates

• Family Nurse Practitioner in Dalton, GA
• Providers in Dalton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.