Healthcare Provider Details

I. General information

NPI: 1235495037
Provider Name (Legal Business Name): JOSEPH DONALSON POINT DU JOUR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2012
Last Update Date: 08/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 CHATTANOOGA AVE STE 1
DALTON GA
30720-2672
US

IV. Provider business mailing address

1575 CHATTANOOGA AVE STE 1
DALTON GA
30720-2672
US

V. Phone/Fax

Practice location:
  • Phone: 706-876-2130
  • Fax:
Mailing address:
  • Phone: 706-876-2130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number073628
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: