Provider Demographics
NPI:1154101533
Name:DAHLONEGO, INC
Entity type:Organization
Organization Name:DAHLONEGO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF MEDGO
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:DAHNESE
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:706-892-8072
Mailing Address - Street 1:768 CROWN MOUNTAIN DR STE 100200
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-1635
Mailing Address - Country:US
Mailing Address - Phone:706-482-4011
Mailing Address - Fax:
Practice Address - Street 1:768 CROWN MOUNTAIN DR STE 100200
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-1635
Practice Address - Country:US
Practice Address - Phone:706-482-4011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)