Healthcare Provider Details

I. General information

NPI: 1326088873
Provider Name (Legal Business Name): SYLVIA T DOLD DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 03/10/2021
Certification Date: 03/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 JESSE JEWELL PKWY SE SUITE 500
GAINESVILLE GA
30501-3862
US

IV. Provider business mailing address

1240 JESSE JEWELL PKWY SE SUITE 500
GAINESVILLE GA
30501-3862
US

V. Phone/Fax

Practice location:
  • Phone: 770-536-9864
  • Fax: 770-297-5017
Mailing address:
  • Phone: 770-536-9864
  • Fax: 770-297-5017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number58668
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: