Dean, Diana K

Dean, Diana K is an individual health care provider with primary practice located at 1900 Riverside Pkwy , Lawrenceville GA 30043-5925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dean, Diana K can be contacted via phone (770) 237-3475.

Contact Information

Primary practice address
1900 Riverside Pkwy Lawrenceville GA 30043-5925
Phone: (770) 237-3475
Fax: (770) 237-3756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002262 Georgia

Profile Details

NPI number 1598765950
LBN Legal business name Dean, Diana K
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jan 29th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598765950 NPPES
Georgia Other 970027445 RAILROAD MEDICARE
Georgia MEDICAID 100002412A RAILROAD MEDICARE

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