Healthcare Provider Details

I. General information

NPI: 1811818172
Provider Name (Legal Business Name): DAYTON CLAIRE BARTH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 LIAM AVE STE 104
DACULA GA
30019-2265
US

IV. Provider business mailing address

2300 LIAM AVE STE 104
DACULA GA
30019-2265
US

V. Phone/Fax

Practice location:
  • Phone: 470-294-0052
  • Fax:
Mailing address:
  • Phone: 470-294-0052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT018448
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: