Healthcare Provider Details

I. General information

NPI: 1104089960
Provider Name (Legal Business Name): DAHLIA CINDY MOSCARDINI M.B.B.S., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DAHLIA CINDY MOSCARDINI M.B.B.S

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 BROADRICK DR
DALTON GA
30720-3012
US

IV. Provider business mailing address

1610 BROADRICK DR
DALTON GA
30720-3012
US

V. Phone/Fax

Practice location:
  • Phone: 706-279-1994
  • Fax: 561-741-0002
Mailing address:
  • Phone: 706-279-1994
  • Fax: 561-741-0002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number64676
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME107887
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: