Diamond, Andrew
Diamond, Andrew is an individual health care provider with primary practice located at 1360 Upper Hembree Rd Suite 201, Roswell GA 30076-1171. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Diamond, Andrew can be contacted via phone (770) 475-3361.Contact Information
Primary practice address
1360 Upper Hembree Rd Suite 201
Roswell GA 30076-1171
Phone: (770) 475-3361
Fax: (770) 664-4431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 036368 | Georgia |
Profile Details
| NPI number | 1114905379 |
|---|---|
| LBN Legal business name | Diamond, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Nov 5th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114905379 | NPPES |
| Georgia | MEDICAID | 000539129H | |
| Georgia | MEDICAID | 000539129I |
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