Carson, David Stephen
Carson, David Stephen is an sole proprietor health care provider with primary practice located at 1209 W Walnut Ave Ste 6, Dalton GA 30720-3961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Carson, David Stephen can be contacted via phone (706) 226-5300.Contact Information
Primary practice address
1209 W Walnut Ave Ste 6
Dalton GA 30720-3961
Phone: (706) 226-5300
Fax: (706) 226-6277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 48336 | Georgia |
Profile Details
| NPI number | 1679575484 |
|---|---|
| LBN Legal business name | Carson, David Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679575484 | NPPES |
| Georgia | MEDICAID | 00860098B | |
| Georgia | Other | 110213705 | |
| Georgia | Other | 52702469002 |
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