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DALTON SURGICAL GROUP PC
NPI 1811005143
Surgery in Dalton, GA

Active since August 28, 2006
1504 BROADRICK DR, DALTON, GA 30720(706) 278-6403(706) 278-0087 Get Directions Write a Review

NPPES record last updated: June 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dalton Surgical Group Pc NPPES

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

DALTON SURGICAL GROUP PC (NPI 1811005143) is a healthcare organization registered as a surgery in Dalton, Georgia and active in the NPI registry since August 2006. The organization lists Wanda Holt, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1811005143
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameDALTON SURGICAL GROUP PC
Location Address1504 BROADRICK DRDalton, GA 30720
Mailing AddressPo Box 1969, 1504 Broadrick DrDalton, GA 30722-1969 · (706) 278-6403 · Fax (706) 278-0087
Phone(706) 278-6403
Fax(706) 278-0087
Organization SubpartNo
Authorized OfficialWanda HoltOffice Manager · (706) 278-6403
Enumeration DateAugust 28, 2006
Last NPPES UpdateJune 15, 2010
✔ NPI 1811005143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1504 BROADRICK DR, Dalton, GA 30720
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Other Identifiers 1

Medicare PINGRP1781GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

DR. RODOVALDO RODRIGUEZ JR. M.D.
Surgery
1504 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-6403
STEVEN W PAYNTER M.D.
Surgery
1504 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-6403
ERIC R MANAHAN M.D.
Surgery
1504 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-6403
MRS. DONNA MALI JOHNSON MSN, AGACNP-BC.
Nurse Practitioner (Acute Care)
1504 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-6403
RICHARD F FROMM M.D.
Surgery
1504 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-6403
LAURA GOINS PA
Physician Assistant (Surgical)
1504 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-6403
MR. WILLIAM GLENN HARDEMAN JR. DO
Surgery
1504 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-6403
JOSIE CHRISTINE ANDERSON PA-C
Physician Assistant
1504 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-6403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dalton Surgical Group PC's NPI number?

The NPI number for Dalton Surgical Group PC is 1811005143. It was assigned to this organization in the NPPES registry on August 28, 2006.

Where is Dalton Surgical Group PC located?

Dalton Surgical Group PC is located at 1504 Broadrick Dr, Dalton, GA 30720. The listed phone number is (706) 278-6403.

What is Dalton Surgical Group PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Dalton Surgical Group PC was last updated on June 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.