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DR. HENRY WILLIAM SANICOLA III MD
NPI 1497505085
Student in an Organized Health Care Education/Training Program in Dalton, GA

Active since March 25, 2024
1432 BROADRICK DRIVE, DALTON, GA 30720(706) 226-8990(706) 529-5317 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 20, 2026, Sep 27, 2024, Aug 21, 2024 (3 updates tracked since 2024).

About Dr. Henry William Sanicola Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HENRY WILLIAM SANICOLA III MD (NPI 1497505085) is an individual student in an organized health care education/training program in Dalton, Georgia, licensed in Georgia (112392) and active in the NPI registry since March 2024. He maintains a secondary practice location in Dalton.

NPPES Registry Identity

NPI1497505085
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. HENRY WILLIAM SANICOLA IIICredential: MD
Location Address1432 BROADRICK DRIVEDalton, GA 30720
Mailing Address1200 Memorial DriveDalton, GA 30720 · (706) 226-8996 · Fax (706) 272-6761
Phone(706) 226-8990
Fax(706) 529-5317
Sole ProprietorNo
Enumeration DateMarch 25, 2024
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1497505085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in GA · 112392
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 112392 (GA)
1432 BROADRICK DRIVE, Dalton, GA 30720
Open in Google Maps ↗

Secondary Practice Location 1

Location 1218 N Fredrick StDalton, GA 30721-3242 · Phone (706) 581-2009

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SPENCER CARLTON MISNER DPM
Podiatrist
1432 BROADRICK DRIVE, DALTON FOOT AND ANKLE SURGERY CENTER
DALTON, GA 30720
Whitfield County (706) 226-1130
DALTON FOOT & ANKLE CENTER INC
Clinic/Center (Podiatric)
1432 BROADRICK DRIVE
DALTON, GA 30720
Whitfield County (706) 226-1130
DR. LINDA PONCE ROSAS MD
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Whitfield County (706) 226-8990
DR. JASNEET RANDHAWA MD
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Whitfield County (706) 226-8990
DR. MANSOOR RAHMAN MBBS
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Whitfield County (706) 226-8990
DR. JOSE PABLO ARRIAGA FLORES MD
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Whitfield County (706) 226-8990
DR. MOHAMMAD ZEYAD MOHAMMAD SALAMEH MD
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Whitfield County (706) 226-8990
DR. AMI PIYUSHBHAI BHALODIA MBBS
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Whitfield County (706) 226-8990

Frequently Asked Questions

What is Henry Sanicola's NPI number?

The NPI number assigned to this healthcare provider is 1497505085, enumerated as an "individual" on March 25, 2024.

Where is the provider located?

The provider is located at 1432 BROADRICK DRIVE DALTON, GA 30720 and the phone number is (706) 226-8990.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.