Dijamco, Alice L
Dijamco, Alice L is an individual health care provider with primary practice located at 5665 Peachtree Dunwoody Rd Ne , Atlanta GA 30342-1701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Dijamco, Alice L can be contacted via phone (404) 851-7324.Contact Information
Primary practice address
5665 Peachtree Dunwoody Rd Ne
Atlanta GA 30342-1701
Phone: (404) 851-7324
Fax: (404) 843-2627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 018289 | Georgia |
Profile Details
| NPI number | 1275541872 |
|---|---|
| LBN Legal business name | Dijamco, Alice L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Sep 24th, 2010 - about 15 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 | 1275541872 | NPPES |
| Georgia | MEDICAID | 00169034B |
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