Dansforth, INC

NPI #1124383146 in Sugar Hill, Georgia

Provider Information

NPI Number: 1124383146
Entity Type: Organization
Organization Name: Dansforth, INC
Primary Specialty: Clinic/Center
Enumeration Date: Jul 5, 2012
Last Updated: Jul 5, 2012

Practice Location

Address: 245 PEACHTREE INDUSTRIAL BLVD
Address 2: SUITE100
City: Sugar Hill
State: Georgia
ZIP Code: 30518-9126
Phone: (770) 856-8736

Authorized Official

Name: DR. DAWN R WILSON, M.D.
Title: SOLE PROPRIETOR
Phone: (770) 856-8736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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