Provider Demographics
NPI:1447552484
Name:SIEGEL AND DOLT PC
Entity type:Organization
Organization Name:SIEGEL AND DOLT PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:P
Authorized Official - Last Name:DANIELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-634-1277
Mailing Address - Street 1:2751 BUFORD HWY NE
Mailing Address - Street 2:SUUITE 302
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3207
Mailing Address - Country:US
Mailing Address - Phone:404-634-1277
Mailing Address - Fax:404-634-1410
Practice Address - Street 1:2751 BUFORD HWY NE
Practice Address - Street 2:SUUITE 302
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3207
Practice Address - Country:US
Practice Address - Phone:404-634-1277
Practice Address - Fax:404-634-1410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-24
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental