Dacula Primary Care, LLC
Family Medicine in Dacula, GA. Organization (NPI-2).
NPI number1023429545
StatusActive
Last updated in NPPESMay 19, 2014
Details
- NPI
- 1023429545
- Entity type
- Organization (NPI-2)
- Legal business name
- Dacula Primary Care, LLC
- Organization subpart
- No
- Enumeration date
- May 19, 2014
- Last updated
- May 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 25411 | GA | Yes |
| 111NS0005X | Chiropractor, Sports Physician | 6683 | GA |
Other names
- Dacula Primary Care And Associates (Doing Business As)
Practice location
465 Dacula RdSuite J
Dacula, GA 30019-2170
Phone 770-822-1922
Mailing address
465 Dacula RdSuite J
Dacula, GA 30019-2170
Phone 770-822-1922
Authorized official
David F Uhry
Non-Medical Manager
7708221922
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