11D0989814 CLIA NUMBER - DAULTON E TODD JR MD PC

Laboratory Demographics

CLIA Number: 11D0989814

Facility Name: DAULTON E TODD JR MD PC

Facility Address:
418 PIRLKE FERRY ROAD
CUMMING, GA
ZIP 30040
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Facility Phone Number: 770 781-6373

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1447285770

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	11D0989814
LAB Type	Physician Office
Facility Name	DAULTON E TODD JR MD PC
Street	418 PIRLKE FERRY ROAD
City	CUMMING
State	GA
ZIP	30040
Phone	770 781-6373
CertificateType	4
CertificateEffectiveDate	8/7/2023
CertificateExpirationDate	8/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024