Dalton, Booker H
Dalton, Booker H is an individual health care provider with primary practice located at 95 Collier Rd Nw Ste 4075, Atlanta GA 30309-1751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Dalton, Booker H can be contacted via phone (404) 603-3543.Contact Information
Primary practice address
95 Collier Rd Nw Ste 4075
Atlanta GA 30309-1751
Phone: (404) 603-3543
Fax: (404) 350-8795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 035608 | Georgia |
Profile Details
| NPI number | 1477557130 |
|---|---|
| LBN Legal business name | Dalton, Booker H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Dec 17th, 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 | 1477557130 | NPPES |
| Georgia | MEDICAID | 00502928C |
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