Provider Type Icon

I D SPECIALIST DALTON P C NPI 1043533649


NPI Information

NPI: 1043533649
Provider Name: I D SPECIALIST DALTON P C
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
1200 E WALNUT AVE STE 4
DALTON, GA
ZIP 30721
Phone: (706) 428-8908
Get Directions

I D SPECIALIST DALTON P C is an infectious disease internal medicine in Dalton, GA. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. I D SPECIALIST DALTON P C NPI is 1043533649. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 E WALNUT AVE STE 4
DALTON, GA
ZIP 30721-191
Phone: (706) 428-8908

The provider's authorized official is Valmyth J Rojas .
The authorized official title is Administrator and has the following contact phone number (706) 428-8908.

The enumeration date for this NPI number is 3/10/2010 and was last updated on 3/10/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0200XInternal MedicineInfectious Disease046533GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1251036700MEDICAIDFLORIDA
2BK595AMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.