North Georgia Surgery and Comprehensive Breast Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

042927 Issued in GA

Legal business name

NORTH GEORGIA SURGERY AND COMPREHENSIVE BREAST CENTER

Practice address

1504 N Thornton Ave
Suite 101
Dalton, GA 30720-8394

Phone

(706) 275-9000

Fax

(706) 226-6642

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Rodovaldo Rodriguez, MD

Title

Owner

Phone

(706) 275-9000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leland Sage Duddleston III, M.D.

  • Internal Medicine Physician
  • Dalton, GA
  • NPI 1912059833

  Specialist

  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1982861209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 N THORNTON AVE",
            "address_2": "SUITE 101",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208394",
            "telephone_number": "706-275-9000",
            "fax_number": "706-226-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 N THORNTON AVE",
            "address_2": "SUITE 101",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208394",
            "telephone_number": "706-275-9000",
            "fax_number": "706-226-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA SURGERY AND COMPREHENSIVE BREAST CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RODOVALDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-275-9000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "042927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Georgia Center for Corrective Jaw Surgery, P.C.
• North Georgia Community Hospice, LLC
• North Georgia Neurological Institute
• North Georgia Radiology
• North Georgia Sleep Solutions, LLC
• North Georgia Surgical Associates
• North Georgia Surgical Group LLC
• North Georgia Urology Center
• North Georgia Urology Center, PC, Inc
• North Georgia Women'S Center, Inc.

• Specialist in Dalton, GA
• Providers in Dalton, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.